Organization Active NPI

Roseann Martarano LCSW PLLC

  • Clinical Social Worker
  • Orland Park, IL
National Provider Identifier
1619704236
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROSEANN MARTARANO LCSW PLLC
Practice address
15737 Ravinia Ave Unit 2W
Orland Park, IL 60462-5392
Phone
(312) 852-0950
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Roseann Martarano, LCSWNPI 1588707806
Title
Owner
Phone
(312) 852-0950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15737 Ravinia Ave Unit 2W
Orland Park, IL 60462-5392

Mailing address

15737 Ravinia Ave Unit 2W
Orland Park, IL 60462-5392
Phone (312) 852-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241224001478 IL Part B Supplier - Clinic/Group Practice 1557898947 Receives reassigned benefits from 1 practitioner
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1619704236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15737 RAVINIA AVE UNIT 2W",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625392",
            "telephone_number": "312-852-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15737 RAVINIA AVE UNIT 2W",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625392",
            "telephone_number": "312-852-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEANN MARTARANO LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "MARTARANO",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-852-0950",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.