Colleen Daly Martinez, LCSW, RPT-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04534000 Issued in NJ

Practice address

11 S Fullerton Ave
Montclair, NJ 07042-6304

Phone

(973) 744-8400

NPI assigned

May 29, 2007

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

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447451448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SAINT LUKES PL APT 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422139",
            "telephone_number": "973-233-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426304",
            "telephone_number": "973-744-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "COLLEEN",
        "middle_name": "DALY",
        "name_prefix": "Ms.",
        "credential": "LCSW, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04534000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a. Fisher, MD, PA
• Susan L Markowitz, LCSW
• Michele Marotta, LAC
• Yasmeen Zina Marshall, LAC
• Kimberly Daianna Martin, LAC
• Richard Martinez, M.D.
• Mary Ann Forster, LCSW, LLC
• Mary Cullen-Drill Apn LLC
• Marykate Horrigan, LLC
• Rachel Francine Maslow, DPM

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.