Nina Beth Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R036921-1 Issued in NY

Practice address

3 Campbell Ave
Suffern, NY 10901-6301

Phone

(845) 368-5222

Fax

(845) 368-5322

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Focus on Solutions LCSW a Psychotherapy Practice PC

  • Clinical Social Worker
  • Nanuet, NY
  • NPI 1124357371
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083766414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LIME KILN RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012601",
            "telephone_number": "845-368-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CAMPBELL AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016301",
            "telephone_number": "845-368-5222",
            "fax_number": "845-368-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NINA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036921-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilla Maroney, RN
• Diane Marra, RN
• Marry St Home ABA LLC
• Patricia D Marsalisi, CRNA
• James Frank Martin, C.O.T.A.
• Aida Irene Martinez, P.T.
• Andrew Martino, DPT
• Sara Elizabeth Martos
• Kathleen Marty Yu, CRNA
• Masha Maslennikov, WHNP-BC

• Clinical Social Worker in Suffern, NY
• Providers in Suffern, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.