Juana R. Martin, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006642 Issued in VA

Practice address

2218 Primrose Dr
Falls Church, VA 22046-1838

Phone

(571) 338-3827

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1114232840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 PRIMROSE DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220461838",
            "telephone_number": "571-338-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 PRIMROSE DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220461838",
            "telephone_number": "571-338-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JUANA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006642",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC3000815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kristine Marshall, LCSW, CSAC
• Drew Joseph Martin, AG-ACNP
• Eric Martin, MD
• Gary Chadwick Martin, D.D.S.
• John Patrick Martin, MD
• Sally B. Martin, M.S., CCC/SP
• Cecilia I Martinez, M.D.
• Jane Catherine Martinez, DC
• Amy Martino, RN
• Dana Marie Martino

• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.