Active NPI
Joni P. Martin, LCSW, PIP
- Clinical Social Worker
- Ft Rucker, AL
National Provider Identifier
1548590961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1781C
- Practice address
- BLDG 301, Andrews Ave
Ft Rucker, AL 36360 - Phone
- (334) 255-7029
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1781C | AL | Primary |
Addresses
Primary practice location
BLDG 301, Andrews Ave
Ft Rucker, AL 36360
Mailing address
BLDG 301, Andrews Ave
Ft Rucker, AL 36360
Phone (334) 255-7029
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1781C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1548590961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 301, ANDREWS AVE",
"city": "FT RUCKER",
"state": "AL",
"postal_code": "36360",
"telephone_number": "334-255-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 301, ANDREWS AVE",
"city": "FT RUCKER",
"state": "AL",
"postal_code": "36360",
"telephone_number": "334-255-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JONI",
"middle_name": "P.",
"credential": "LCSW, PIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1781C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.