Nancy Masino Martin, LICSW
Individual provider Active NPI Clinical Social Worker · Monterey, MA
NPI 1619446010 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1619446010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 114568 (MA)
- Practice address
- 100 Gould Rd.
Monterey, MA 01245 - Phone
- (413) 528-1804
- Fax
- (413) 645-1022
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114568 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William J. Gould Associates, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 114568 | MA | Yes |
Addresses
Primary practice location
100 Gould Rd.
Monterey, MA 01245
Mailing address
PO Box 157
Monterey, MA 01245-0157
Phone (413) 528-1804
Other providers in Monterey, MA
- Carly A Detterman
- Rebecca K English
- Hunger Mountain LLC
- Eileen M. Lawlor
- Jane Gray Linsley
- Melissa E. Mishcon
- Sara Mugridge
- Jerrold Nathan Raab
- Simply Me Massage Clinic LLC
- William J. Gould Associates, Inc.
All providers in Monterey, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.