Mary Martucci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019778 Issued in PA

Practice address

2045 Westgate Dr Ste 304
Bethlehem, PA 18017-7475

Phone

(610) 865-8177

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By 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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley OutlooksGroup PAC ID 7517498835, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Outlooks

  • Mental Health Counselor
  • Breinigsville, PA
  • NPI 1013751064

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Quaker State Medical Services Co Inc

  • Non-Pharmacy Dispensing Site
  • Exton, PA
  • NPI 1629089578
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1114426517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 304",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177475",
            "telephone_number": "610-865-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 304",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177475",
            "telephone_number": "610-865-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Martinez
• Michelle Martinez, BA
• Shelley Martinez, CRNP
• Natalie Martino
• Kelly E Martorano, ACNP
• Ulla Hedvig Martz, LSW
• Siddhartha Yogesh Maru, MD
• Julia Maruscak, PAC
• Marval Optical
• Mary Anne a Pajel-Sio MD PC (Willow Park Medical Group)

• Clinical Social Worker in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.