Gregory Albert Martin, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5960584-6010 Issued in UT

Practice address

466 South Skylane Drive
Durango, CO 81303

Phone

(970) 382-8181

Fax

(970) 382-9494

NPI assigned

Apr 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Acf Enterprises, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Durango, CO
  • NPI 1487808713
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1295979771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2201",
            "address_2": "OPEN SKY WILDERNESS THERAPY",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813022201",
            "telephone_number": "970-382-8181",
            "fax_number": "970-382-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 SOUTH SKYLANE DRIVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-382-8181",
            "fax_number": "970-382-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GREGORY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5960584-6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lewis Marr IV, PA-C
• Margaret Marsden, LMT
• Jessica Marsh, MD
• Peter Duncan Marshall, M.D.
• Alanda Sea Martin
• Johanna B Martin, RN
• Marta D Martinez-Evans, MS, CAC III, NCAC
• Ryan Martyn
• Mason O Miner DDS LLC
• Charles B Masters, MD

• Clinical Social Worker in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.