Carla Amato-Martz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-006275 Issued in IL

Practice address

947 Oxford Rd
Glen Ellyn, IL 60137-4813

Phone

(773) 459-7272

NPI assigned

Oct 26, 2017

Last updated

Oct 26, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1104338441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 OXFORD RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374813",
            "telephone_number": "773-459-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 OXFORD RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374813",
            "telephone_number": "773-459-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO-MARTZ",
        "first_name": "CARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-006275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.