Janice M Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R041079-1 Issued in NY

Practice address

407 E Main St
Port Jefferson, NY 11777-1866

Phone

(631) 474-2934

NPI assigned

Dec 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 1989

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Janice Martin Licensed Clinical Social Worker PCGroup PAC ID 6305252537, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Janice Martin Licensed Clinical Social Worker PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Jefferson, NY
  • NPI 1902427941
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336205350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117770433",
            "telephone_number": "631-474-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771866",
            "telephone_number": "631-474-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041079-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02453487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maury A Marmor, M.D.
• William Marrin, PHD
• Jennifer Dale Marshak, MD
• Crewson Andrew Martin, M.S.W., L-C.S.W.
• Dawn Ann Martin
• Paige Martinez
• Joseph Carmine Martino, DMD
• Melissa Jilll Marvin-Melzer, PT
• Maryhaven Center of Hope Inc.
• Maryhaven Center of Hope Inc.

• Clinical Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.