Active NPI
Sharon M. Martyn, LCSW
- Social Worker
- Gretna, LA
National Provider Identifier
1023033602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW 2405
- Practice address
- 401 Whitney Ave
Suite 306
Gretna, LA 70056-2558 - Phone
- (504) 309-7844
- Fax
- (504) 309-7845
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 2405 | LA | Primary |
Addresses
Primary practice location
401 Whitney Ave
Suite 306
Gretna, LA 70056-2558
Mailing address
PO Box 6744
New Orleans, LA 70174
Phone (504) 309-7844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1650455 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2405 | LA | MD | Professional Counselor |
| LCSW 2405 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1023033602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6744",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70174",
"telephone_number": "504-309-7844",
"fax_number": "504-309-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WHITNEY AVE",
"address_2": "SUITE 306",
"city": "GRETNA",
"state": "LA",
"postal_code": "700562558",
"telephone_number": "504-309-7844",
"fax_number": "504-309-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYN",
"first_name": "SHARON",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "LCSW 2405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1650455",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.