Vanessa Martinez-Mautino, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

91 Guy Lombardo Ave
Freeport, NY 11520-3731

Phone

(516) 868-3030

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Martinez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1114395548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HASTINGS RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581402",
            "telephone_number": "516-574-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203731",
            "telephone_number": "516-868-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MAUTINO",
        "first_name": "VANESSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manifesting Dreams Inc
• Martha George Marcellus
• Nadgeffrena Marcena
• Rosemary Marrugo, MS
• Janette Marsac, LMSW, RDN
• Alexander Martinez
• Ana Iris Martinez
• Francisco Antonio Martinez, MD
• Karen Stephanie Martinez, OTD, OTR/L
• Rachel Beth Martz Klein

• Clinical Social Worker in Freeport, NY
• Providers in Freeport, 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 Sep 2, 2015; 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.