Active NPI
Michele Martindale, L.C.S.W.
- Clinical Social Worker
- Lynn, MA
National Provider Identifier
1447793849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121057
- Practice address
- 8 Silsbee St
Lynn, MA 01901-1404 - Phone
- (781) 599-0110
- Fax
- (781) 586-8570
- NPI assigned
- Dec 2, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 218319 | MA | |
| Clinical Social Worker | 1041C0700X | 121057 | MA | Primary |
Addresses
Primary practice location
8 Silsbee St
Lynn, MA 01901-1404
Mailing address
8 Silsbee St
Lynn, MA 01901-1404
Phone (781) 599-0110
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218319 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1447793849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SILSBEE ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011404",
"telephone_number": "781-599-0110",
"fax_number": "781-586-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SILSBEE ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011404",
"telephone_number": "781-599-0110",
"fax_number": "781-586-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINDALE",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "218319",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.