Individual provider Active NPI

Barbra S. Martin, LCSW

  • Clinical Social Worker
  • Skillman, NJ
National Provider Identifier
1477846996
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01366600 Issued in NJ
Practice address
39 Tamarack Cir
Skillman, NJ 08558-2019
Phone
(901) 228-4321
Fax
(609) 924-2343
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01366600 NJ Primary

Addresses

Primary practice location

39 Tamarack Cir
Skillman, NJ 08558-2019

Mailing address

210 Terhune Rd
Princeton, NJ 08540-3425
Phone (609) 924-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180705001894 NJ Practitioner - Clinical Social Worker 1557617560 Practice locations: Princeton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

210 Terhune Rd
Princeton, NJ 08540-3425
Phone (901) 228-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1477846996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TERHUNE RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403425",
            "telephone_number": "609-924-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582019",
            "telephone_number": "901-228-4321",
            "fax_number": "609-924-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BARBRA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01366600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.