Individual provider Active NPI

Wendy Alison Martel, LICSW

  • Clinical Social Worker
  • Keene, NH
National Provider Identifier
1124130505
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
667 Issued in NH
Practice address
40 Avon St
Keene, NH 03431-3516
Phone
(603) 357-4400
Fax
(603) 357-9648
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 667 NH Primary

Addresses

Primary practice location

40 Avon St
Keene, NH 03431-3516

Mailing address

64 Main St
Keene, NH 03431-3701
Phone (603) 357-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20070504000131 NH Practitioner - Clinical Social Worker 6103922398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3026NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Family Services CurrentSince Oct 10, 2023 Accepting new patients

Locations

40 Avon St
Keene, NH 03431
Phone (603) 352-1024

64 Main St
Ste 301
Keene, NH 03431
Phone (603) 357-6878

17 93rd St
Keene, NH 03431
Phone (603) 924-7236

64 Main St
North Swanzey, NH 03431
Phone (603) 283-1500

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1124130505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313701",
            "telephone_number": "603-357-4400",
            "fax_number": "603-357-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313516",
            "telephone_number": "603-357-4400",
            "fax_number": "603-357-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEL",
        "first_name": "WENDY",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.