Active NPI
Nicholas Martucci, L.C.S.W.
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1386897254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R077883
- Practice address
- 26 Court St Ste 712
Brooklyn, NY 11242-1107 - Phone
- (212) 786-2437
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R077883 | NY | Primary |
Addresses
Primary practice location
26 Court St Ste 712
Brooklyn, NY 11242-1107
Mailing address
421 Degraw St
# 3A
Brooklyn, NY 11217-2946
Phone (212) 786-2437
Other practice location 1
421 DeGraw St
# 3A
Brooklyn, NY 11217-2946
Phone (212) 786-2437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2026 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R077883 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386897254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 DEGRAW ST",
"address_2": "# 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172946",
"telephone_number": "212-786-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST STE 712",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421107",
"telephone_number": "212-786-2437"
}
],
"practiceLocations": [
{
"address_1": "421 DeGraw St",
"address_2": "# 3A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112172946",
"country_code": "US",
"telephone_number": "212-786-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTUCCI",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R077883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.