Elizabeth Martin, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW130118 Issued in PA

Practice address

32 Rodman Ave
Havertown, PA 19083-4637

Phone

(484) 782-4590

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

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.

• Family Practice & Counseling Services Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1043204811
  NPD (past)
• Life of Purpose - Pennsylvania

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Yardley, PA
  • NPI 1174908479
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1275995169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 RODMAN AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834637",
            "telephone_number": "484-782-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RODMAN AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834637",
            "telephone_number": "484-782-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Mansi, D.O.
• Nasima R Mansur, MD
• Alan David Markowitz, DMD
• Yen Marquez, LMT
• Daniel R Martin, LCSW
• Georges Paul Martin, D.M.D.
• Jeffrey Ulmer Martin, D.M.D.
• Kenneth Randolph Martin, D.M.D.
• Robyn Martin, MS
• Gina Marie Martinelli Noble, MPT, ATC

• Social Worker in Havertown, PA
• Providers in Havertown, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.