Active NPI
Ashley Michelle Martyniuk, LMSW
- Social Worker
- Tulsa, OK
National Provider Identifier
1184006652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5177
- Practice address
- 7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713 - Phone
- (918) 492-2554
- Fax
- (918) 477-9201
- NPI assigned
- Jun 22, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 5177 | OK | Primary |
Addresses
Primary practice location
7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Mailing address
7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Phone (918) 492-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
204 S Orange St
Richland Center, WI 53581-2170
Phone (608) 383-1261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5177 | OK | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Counseling Inc. | Current | Accepting new patients |
Locations
204 S Orange St
Richland Center, WI 53581
Phone (608) 383-1261
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richland Center, WI
- NPI 1366004384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1184006652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 S YALE AVE",
"address_2": "SUITE 215",
"city": "TULSA",
"state": "OK",
"postal_code": "741365713",
"telephone_number": "918-492-2554",
"fax_number": "918-477-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 S YALE AVE",
"address_2": "SUITE 215",
"city": "TULSA",
"state": "OK",
"postal_code": "741365713",
"telephone_number": "918-492-2554",
"fax_number": "918-477-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYNIUK",
"first_name": "ASHLEY",
"middle_name": "MICHELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "5177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.