Individual provider Active NPI

Danielle Martineau, LICSW

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1093116162
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121319 Issued in MA
Practice address
89 Northampton Street
Easthampton, MA 01027-1023
Phone
(413) 270-2405
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 121319 MA Primary

Addresses

Primary practice location

89 Northampton Street
Easthampton, MA 01027-1023

Mailing address

89 Northampton Street
Easthampton, MA 01027-1023
Phone (413) 270-2405

Other practice location 1

77 Mill St
Westfield, MA 01085-4598
Phone (413) 568-1421

Other identifiers 1

IdentifierTypeStateIssuer
1300881MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2024 through Dec 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121319MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embodymind Therapeutics LLC Clinical CurrentSince Jul 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1093116162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 NORTHAMPTON STREET",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271023",
            "telephone_number": "413-270-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 NORTHAMPTON STREET",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271023",
            "telephone_number": "413-270-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Mill St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010854598",
            "country_code": "US",
            "telephone_number": "413-568-1421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.