George Alonzo Martin Jr., MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106796 Issued in MA

Practice address

85 E Newton St
Boston, MA 02118-2841

Phone

(617) 305-9936

Fax

(617) 305-9998

NPI assigned

Jul 31, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1194203299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182841",
            "telephone_number": "617-305-9936",
            "fax_number": "617-305-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182841",
            "telephone_number": "617-305-9936",
            "fax_number": "617-305-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GEORGE",
        "middle_name": "ALONZO",
        "name_suffix": "Jr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel K Martin, PA-C
• Dara Beth Martin, O.D.
• Darcie Martin, PTA
• Denise Martin, FNP
• Elizabeth Ann Martin, M.D.
• Heidi Diane Martin
• Ignacio Sanzm Martin, DDS
• Jacob Martin
• Jacqueline Lee Martin, PHD
• Jem Martin, OD

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.