Kimberly Martinez, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04229 Issued in RI

Practice address

849 Centerville Rd
Warwick, RI 02886-4342

Phone

(401) 823-3777

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Rise Above Therapy LLC

  • Clinical Social Worker
  • West Warwick, RI
  • NPI 1629899083
  NPD Authorized official
• Child Inc.

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1760547582

  Clinical

  NPD (past)
• Team Rockstar Sports

  • Clinical Social Worker
  • Seekonk, MA
  • NPI 1194377374
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1407597156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 QUAKER DR",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932333",
            "telephone_number": "401-712-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864342",
            "telephone_number": "401-823-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KIMBERLY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Martin, LCDP
• Mary Martin
• Michael Richard Martin, D.O.
• Samantha Jeanne Martin, RN
• Franshelyne Carolina Martinez
• Melissa Nicole Martino, PA-C
• Patricia Anne Martino, NP
• Jeremy Cocozza Martins, M.ED.
• Katelyn Martins, LMHC
• Francis E Martinson, MD

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.