Martha Vanessa Fermin, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122268-01 Issued in NY

Practice address

57 W Burnside Ave
Bronx, NY 10453-4038

Phone

(718) 839-8900

NPI assigned

Dec 21, 2023

Sex

Female

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: martha.fermin.p1@direct.mhhc.nextgenshare.com

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1225807001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 175TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337916",
            "telephone_number": "917-306-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534038",
            "telephone_number": "718-839-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "MARTHA",
        "middle_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "122268-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Christine Ferguson
• Teslyn M Ferguson, RPH
• Corby Jean Ferlesch, LMSW
• Ashley Dianne Fermin
• Ilianna Fermin, LMSW
• Raymundo D Fermin, LMSW, CASAC
• Solanyi Fermin
• Anthony Francis Fernandes
• David L. Fernandes, MD
• Fleance Fernandes, PA

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.