Samantha S Martinez, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112033 Issued in MA

Practice address

97 Holmes Street
Quincy, MA 02171

Phone

(781) 866-9497

Fax

(617) 770-1174

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Integrative Therapies, LLC

  • Mental Health Counselor
  • Quincy, MA
  • NPI 1093048787
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1255305504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712433",
            "telephone_number": "617-298-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HOLMES STREET",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02171",
            "telephone_number": "781-866-9497",
            "fax_number": "617-770-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SAMANTHA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "112033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112033",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "112033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Marron
• Daniel P Marrone, M.ED.
• Ty Daniel Marshall, PA-C
• Christopher Martin, LICSW
• Cristina Martinez
• Mackenzie Martins, MS, BCBA, LABA
• Mary Anne del Copolo DDS PC
• Faith Masaku-Macharia
• Kaitlyn Mascioli
• Dean Fathalla Mashali, DMD

• Clinical Social Worker in Quincy, MA
• Providers in Quincy, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.