Carin Martucci, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SC05264700 Issued in NJ

Practice address

10 W South Orange Ave FL 2
South Orange, NJ 07079-1728

Phone

(973) 688-8858

Fax

(973) 368-8859

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Growth Counseling Center

  • Clinical Social Worker
  • South Orange, NJ
  • NPI 1265629182
  NPD (past) Authorized official

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1245704329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SOUTH ORANGE AVE FL 2",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791728",
            "telephone_number": "973-688-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SOUTH ORANGE AVE FL 2",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791728",
            "telephone_number": "973-688-8858",
            "fax_number": "973-368-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "CARIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05264700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11719643",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Malhotra
• Melissa Danielle Maniches, MA CCC-SLP
• Carol E Mann, D.M.D.
• Tamika M Marshall
• Glenn Martin
• Mary Daisy Cantey MD Carolina Medical Associates LLC
• Mas Home Health Care
• Robert Massa, DMD
• Shirley Matthews, PHD
• Carly Bischoff Mayer, PH.D.

• Mental Health Counselor in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.