Individual provider Active NPI

Martha W Gladding, LICSW

  • Clinical Social Worker
  • Middletown, RI
National Provider Identifier
1235233693
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00008 Issued in RI
Practice address
67 Valley Road
Middletown, RI 02842-7218
Phone
(401) 846-3422
Fax
(401) 846-3419
NPI assigned
Sep 7, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00008 RI Primary
Clinical Social Worker 1041C0700X 107628 MA

Addresses

Primary practice location

67 Valley Road
Middletown, RI 02842-7218

Mailing address

67 Valley Road
Middletown, RI 02842-7218
Phone (401) 846-3422

Other names 1

  • Mrs. Martha W Pedreira Other name

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

State licenses

LicenseStateTypeSpecialty
107628MAMDClinical Social Worker
ISW00008RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1235233693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 VALLEY ROAD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427218",
            "telephone_number": "401-846-3422",
            "fax_number": "401-846-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 VALLEY ROAD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427218",
            "telephone_number": "401-846-3422",
            "fax_number": "401-846-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDING",
        "first_name": "MARTHA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00008",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "PEDREIRA",
            "middle_name": "W",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.