Active NPI
Kathleen S. Martin, MSW, LCSW,Inc.
- Clinical Social Worker
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6384
- Legal business name
- KATHLEEN S. MARTIN, MSW, LCSW,INC.
- Practice address
- 3307 Northlake Blvd # B104
B104
Palm Beach Gardens, FL 33403-1703 - Phone
- (561) 694-5265
- NPI assigned
- May 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Stonebrink Martin, LCSW
- Title
- Owner
- Phone
- (561) 694-5265
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW6384 | FL | Primary |
Addresses
Primary practice location
3307 Northlake Blvd # B104
B104
Palm Beach Gardens, FL 33403-1703
Mailing address
3307 Northlake Blvd # B1O4
B104
Palm Beach Gardens, FL 33403-1703
Phone (561) 694-5265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3307 Northlake Blvd
#B104B104
Palm Beach Gardens, FL 33403
Phone (561) 694-5265
3307 Northlake Blvd
#B1O4B104
Palm Beach Gardens, FL 33403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Palm Beach Gardens, FL
- NPI 1881737732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460678400000",
"number": "1215316286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3307 NORTHLAKE BLVD # B1O4",
"address_2": "B104",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334031703",
"telephone_number": "561-694-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 NORTHLAKE BLVD # B104",
"address_2": "B104",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334031703",
"telephone_number": "561-694-5265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN S. MARTIN, MSW, LCSW,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-24",
"last_updated": "2016-04-15",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "STONEBRINK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-694-5265",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW6384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.