Active NPI
Moretha Martin, LMSW
- Social Worker
- Bristol, CT
National Provider Identifier
1417727355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7386
- Practice address
- 10 N Main St
Bristol, CT 06010-8122 - Phone
- (203) 437-2989
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7386 | CT | Primary |
Addresses
Primary practice location
10 N Main St
Bristol, CT 06010-8122
Mailing address
488 Perkins Ave
Unit 1 Apt 9
Waterbury, CT 06704
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)
- Not enrolled
Interoperability endpoints
- moretha.martin.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1417727355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 PERKINS AVE",
"address_2": "UNIT 1 APT 9",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N MAIN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060108122",
"telephone_number": "203-437-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MORETHA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "7386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.