Individual provider Active NPI

Sarah Guinavere Martyn, LCSW, CASAC

  • Clinical Social Worker
  • Canandaigua, NY
National Provider Identifier
1366901217
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088072 Issued in NY
Practice address
5297 Parkside Dr Ste 420B
Canandaigua, NY 14424-7502
Phone
(585) 905-5468
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 088072 NY Primary

Addresses

Primary practice location

5297 Parkside Dr Ste 420B
Canandaigua, NY 14424-7502

Mailing address

1543 Redfern Dr
Farmington, NY 14425-9358
Phone (585) 905-5468

Other practice location 1

1543 Redfern Dr
Farmington, NY 14425-9358
Phone (585) 905-5468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088072NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1366901217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 REDFERN DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259358",
            "telephone_number": "585-905-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 PARKSIDE DR STE 420B",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247502",
            "telephone_number": "585-905-5468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Redfern Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NY",
            "postal_code": "144259358",
            "country_code": "US",
            "telephone_number": "585-905-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTYN",
        "first_name": "SARAH",
        "middle_name": "GUINAVERE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.