Jennifer Ann Martin, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

424 Perry St
La Porte, IN 46350-3200

Phone

(219) 809-0333

Fax

(219) 809-0334

NPI assigned

Nov 20, 2015

Last updated

Nov 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448755200000",
    "number": "1407220999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58938 TOWNE RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179340",
            "telephone_number": "574-606-4044",
            "fax_number": "219-531-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PERRY ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503200",
            "telephone_number": "219-809-0333",
            "fax_number": "219-809-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple City Medical LLC
• Hector Juan Marchand Sr., M.D.
• Amanda Marriott
• Andrew Martin
• Ashley Martin, OTR/L, OTD
• Scott Martinsen
• Ruth Galang Mashak, PT
• Jordyn Matthews
• Lauren McClain
• Emily McClish

• Clinical Social Worker in La Porte, IN
• Providers in La Porte, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2015; 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.