Martrice Kennedy, DOCSOCSCI,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0012338 Issued in DE

Practice address

1000 N West St Ste 1200
Wilmington, DE 19801-1058

Phone

(302) 729-2398

NPI assigned

Feb 14, 2014

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

• Martrice Gaskins Professional name

Medicare fee-for-service enrollment

Enrolled in DE

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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DE

  Medicare reassignment NPD

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1366866048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 FILBERT AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052549",
            "telephone_number": "215-678-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST STE 1200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011058",
            "telephone_number": "302-729-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Filbert Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198052549",
            "country_code": "US",
            "telephone_number": "215-678-9738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MARTRICE",
        "name_prefix": "Dr.",
        "credential": "DOCSOCSCI,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTRICE",
            "last_name": "GASKINS",
            "credential": "DOCSOCSCI, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erin Kennedy
• Heather Anne Kennedy, M.D.
• James Muldoon Kennedy
• Kristen Kennedy, EMT
• Lauren Kennedy
• Thomas Kennedy
• Kenneth E Degroot DC Inc
• Kenneth J. Yost, DMD,PA
• Kenneth M. Corrin, Jr., M.D., P.a.
• Stephen Kenney, DMD

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.