Anna C Martin, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008292 Issued in CT

Practice address

861 Middletown Ave
North Haven, CT 06473-3536

Phone

(203) 606-2071

Fax

(203) 287-8144

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Anna C Jean-Guillaume Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1306001342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 STATE ST",
            "address_2": "SUITE NUMBER 6",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733147",
            "telephone_number": "203-606-2071",
            "fax_number": "203-287-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 MIDDLETOWN AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733536",
            "telephone_number": "203-606-2071",
            "fax_number": "203-287-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANNA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JEAN-GUILLAUME",
            "middle_name": "C",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adriano Marcoccia, PHD
• Elisa Marinella
• Bianca Maribel Marmolejos
• Elise Maro, PA-C
• James S Marsh, MD
• Catherine Gabriella Martin, CPNP-PC
• Paula Vida Masto, APRN
• Jeffrey Adam Mathias
• Maria Matos
• Michael Edward Mattie, DDS

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.