Active NPI
Emily Jane Martin, MSW
- Social Worker
- North Fort Myers, FL
National Provider Identifier
1366091118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340 - Phone
- (941) 380-4758
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340
Mailing address
2097 Delta St
Port Charlotte, FL 33952-3808
Phone (941) 380-4758
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
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- NPI 1760460653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1366091118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 DELTA ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339523808",
"telephone_number": "941-380-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 PONDELLA RD STE 9",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339034340",
"telephone_number": "941-380-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "EMILY",
"middle_name": "JANE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.