Individual provider Active NPI

Jodie A Martens, MSW, LCSW

  • Clinical Social Worker
  • Germantown, WI
National Provider Identifier
1598945883
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7143-123 Issued in WI
Practice address
W175N11120 Stonewood Dr
Germantown, WI 53022
Phone
(800) 438-1772
Fax
(262) 345-5562
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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 7143-123 WI Primary

Addresses

Primary practice location

W175N11120 Stonewood Dr
Germantown, WI 53022

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Phone (800) 438-1772

Other identifiers 2

IdentifierTypeStateIssuer
39798400MedicaidWI
7143-123OtherWILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080326000694 WI Practitioner - Clinical Social Worker 9335225671 Reassigns benefits to 1 organization
I20250530001247 MN Practitioner - Clinical Social Worker 9335225671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3261 19TH St NW
Suite 100
Rochester, MN 55901-6786
Phone (800) 438-1772

700 Luther Dr
Mankato, MN 56001-6192
Phone (800) 438-1772

W175N11056 Stonewood Dr
Germantown, WI 53022-4799
Phone (262) 345-5562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7143-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child and Family Service Inc Clinical CurrentSince Mar 12, 2012 Accepting new patients
Wisconsin Lutheran Child & Family Services, Inc Clinical CurrentSince Mar 12, 2012 Accepting new patients
Wisconsin Lutheran Child & Family Service Past Accepting new patients
Wis. Lutheran Child & Family Services Clinical Past Accepting new patients
Wisconsin Lutheran Child & Family Service Past Accepting new patients

Locations

700 Luther Dr
Mankato, MN 56001
Phone (507) 344-7406

W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533

2345 N 25th St
Milwaukee, WI 53206
Phone (262) 345-5560

2215 N Palmer St
Milwaukee, WI 53212
Phone (262) 345-5560

9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1598945883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "53022",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "JODIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7143-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39798400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7143-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

Verify at the official NPI Registry.