Individual provider Active NPI

Noriko I Martinez, PH.D., L.C.S.W.

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1609167451
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012824 Issued in IL
Practice address
801 Skokie Blvd
Suite 103
Northbrook, IL 60062-4039
Phone
(847) 372-8134
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.012824 IL Primary
Clinical Social Worker 1041C0700X 6801104128 MI
Clinical Social Worker 1041C0700X CSW.09925865 CO
Clinical Social Worker 1041C0700X CV21000837 IN

Addresses

Primary practice location

801 Skokie Blvd
Suite 103
Northbrook, IL 60062-4039

Mailing address

801 Skokie Blvd
Suite 103
Northbrook, IL 60062-4039
Phone (847) 372-8134

Other practice location 1

405 N Wabash Ave Unit 1303
Chicago, IL 60611-3519
Phone (847) 372-8134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSW.09925865COMDClinical Social Worker
149.012824ILMDClinical Social Worker
CV21000837INMDClinical Social Worker
6801104128MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1609167451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD",
            "address_2": "SUITE 103",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624039",
            "telephone_number": "847-372-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD",
            "address_2": "SUITE 103",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624039",
            "telephone_number": "847-372-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Wabash Ave Unit 1303",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113519",
            "country_code": "US",
            "telephone_number": "847-372-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NORIKO",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012824",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104128",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925865",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "CV21000837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.