Carla Amato-Martz
Individual provider Active NPI Clinical Social Worker · Glen Ellyn, IL
NPI 1104338441 · NPPES record last updated Oct 26, 2017
Key facts
- NPI
- 1104338441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149-006275 (IL)
- Practice address
- 947 Oxford Rd
Glen Ellyn, IL 60137-4813 - Phone
- (773) 459-7272
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-006275 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-006275 | IL | Yes |
Addresses
Primary practice location
947 Oxford Rd
Glen Ellyn, IL 60137-4813
Mailing address
947 Oxford Rd
Glen Ellyn, IL 60137-4813
Phone (773) 459-7272
Other providers in Glen Ellyn, IL
- Janet Alonso
- Jemma Alumbaugh
- Always Great Smiles Dot Com PC
- Amani Optometry LLC
- Amara Physical Therapy
- Cynthia R Ambler
- John H Amendt Jr.
- American Drug Stores LLC
- Hafsa Amjed
- Penelope A Andersen
All providers in Glen Ellyn, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.