Active NPI
Marta Ellen Archer, MSW
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1124182803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11790
- Practice address
- 5229 New Design Rd
Frederick, MD 21703-7103 - Phone
- (301) 668-1320
- Fax
- (301) 696-1390
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11790 | MD | Primary |
Addresses
Primary practice location
5229 New Design Rd
Frederick, MD 21703-7103
Mailing address
1182 Codorus St
Frederick, MD 21702-1100
Phone (301) 682-5753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124182803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 CODORUS ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217021100",
"telephone_number": "301-682-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5229 NEW DESIGN RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037103",
"telephone_number": "301-668-1320",
"fax_number": "301-696-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "MARTA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.