Organization Active NPI

Martha L. Scranton, Ms.LCSW

  • Clinical Social Worker
  • Flagstaff, AZ
National Provider Identifier
1003227190
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW Issued in AZ
Legal business name
MARTHA L. SCRANTON, MS.LCSW
Practice address
711 N Beaver St
Flagstaff, AZ 86001-3103
Phone
(928) 214-1070
Fax
(928) 214-1071
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariane V Alva
Title
Billing Manager
Phone
(928) 214-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW AZ Primary

Addresses

Primary practice location

711 N Beaver St
Flagstaff, AZ 86001-3103

Mailing address

PO Box 30310
Flagstaff, AZ 86003-0310
Phone (928) 214-1070

Other identifiers 1

IdentifierTypeStateIssuer
1821278623MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1003227190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30310",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030310",
            "telephone_number": "928-214-1070",
            "fax_number": "928-214-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013103",
            "telephone_number": "928-214-1070",
            "fax_number": "928-214-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA L. SCRANTON, MS.LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "ALVA",
        "authorized_official_first_name": "MARIANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "928-214-1070"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821278623",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.