Individual provider Active NPI

Stephen J Fitzmartin, MSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1508901877
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1815 John F Kennedy Blvd Apt 2804
Philadelphia, PA 19103-1724
Phone
(215) 287-6463
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1815 John F Kennedy Blvd Apt 2804
Philadelphia, PA 19103-1724

Mailing address

1815 John F Kennedy Blvd Apt 2804
Philadelphia, PA 19103-1724
Phone (215) 563-0699

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1508901877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 JOHN F KENNEDY BLVD APT 2804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031724",
            "telephone_number": "215-563-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 JOHN F KENNEDY BLVD APT 2804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031724",
            "telephone_number": "215-287-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZMARTIN",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.