Individual provider Active NPI

Martha Otice, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1285794651
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9033 Glades Rd
Suite B
Boca Raton, FL 33434-3939
Phone
(561) 361-0500
Fax
(561) 479-0384
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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 Primary

Addresses

Primary practice location

9033 Glades Rd
Suite B
Boca Raton, FL 33434-3939

Mailing address

6181 Balboa Cir
#203
Boca Raton, FL 33433-8188
Phone (561) 826-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110330000815 FL Practitioner - Clinical Social Worker 2062303035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians

Practice addresses (Care Compare)

1035 S State Rd
7 Suite 209
Wellington, FL 33414-6136
Phone (561) 331-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045224NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialty Center LLC CurrentSince Mar 20, 2024 Accepting new patients
Mindpath Health Florida, PLLC Clinical PastSince Mar 20, 2024 Accepting new patients

Locations

1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1285794651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 BALBOA CIR",
            "address_2": "#203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338188",
            "telephone_number": "561-826-8770",
            "fax_number": "561-826-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 GLADES RD",
            "address_2": "SUITE B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343939",
            "telephone_number": "561-361-0500",
            "fax_number": "561-479-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTICE",
        "first_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.