Individual provider Active NPI

Martha Charlebois Jarmon, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1235310095
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06615 Issued in TX
Practice address
3434 Jubilee TRL
Dallas, TX 75229-2638
Phone
(214) 366-2022
NPI assigned
Nov 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06615 TX Primary

Addresses

Primary practice location

3434 Jubilee TRL
Dallas, TX 75229-2638

Mailing address

3434 Jubilee TRL
Dallas, TX 75229-2638
Phone (214) 366-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107001113 TX Practitioner - Clinical Social Worker 3173745031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06615TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Native Health CurrentSince Jun 28, 2024 Accepting new patients

Locations

1283 Record Crossing Rd
Dallas, TX 75235
Phone (214) 941-1050

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cdf42bb0-51f6-4504-b5a7-cccb830ef48f/

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1235310095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 JUBILEE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292638",
            "telephone_number": "214-366-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 JUBILEE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292638",
            "telephone_number": "214-366-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMON",
        "first_name": "MARTHA",
        "middle_name": "CHARLEBOIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "06615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.