Individual provider Active NPI

Ann Martini, L.C.S.W.

  • Social Worker
  • Campbell, CA
National Provider Identifier
1245437672
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS 8371 Issued in CA
Practice address
51 E. Campbell Ave
Suite 170
Campbell, CA 95008-2001
Phone
(408) 370-6195
Fax
(408) 370-6196
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS 8371 CA Primary

Addresses

Primary practice location

51 E. Campbell Ave
Suite 170
Campbell, CA 95008-2001

Mailing address

51 E. Campbell Ave
Suite 170
Campbell, CA 95008-2001
Phone (408) 370-6195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 20, 2012 through Sep 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS 8371CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1245437672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E. CAMPBELL AVE",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082001",
            "telephone_number": "408-370-6195",
            "fax_number": "408-370-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E. CAMPBELL AVE",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082001",
            "telephone_number": "408-370-6195",
            "fax_number": "408-370-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.