Active NPI
Noriko I Martinez, PH.D., L.C.S.W.
- Clinical Social Worker
- Northbrook, IL
National Provider Identifier
1609167451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.012824
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09925865 | CO | MD | Clinical Social Worker |
| 149.012824 | IL | MD | Clinical Social Worker |
| CV21000837 | IN | MD | Clinical Social Worker |
| 6801104128 | MI | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.