Active NPI
Martha Jane Aby, MSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1063504363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15389
- Practice address
- 160 Kellogg Blvd E
Saint Paul, MN 55101-1420 - Phone
- (651) 266-4130
- Fax
- (651) 266-4663
- NPI assigned
- Sep 28, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15389 | MN | Primary |
Addresses
Primary practice location
160 Kellogg Blvd E
Saint Paul, MN 55101-1420
Mailing address
160 Kellogg Blvd E
Saint Paul, MN 55101-1420
Phone (651) 266-4130
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15389 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramsey County Community Human Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Saint Paul, MN
- NPI 1811055957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063504363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 KELLOGG BLVD E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011420",
"telephone_number": "651-266-4130",
"fax_number": "651-266-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 KELLOGG BLVD E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011420",
"telephone_number": "651-266-4130",
"fax_number": "651-266-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABY",
"first_name": "MARTHA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "15389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.