Active NPI
Martha T Baratt, LCSW
- Clinical Social Worker
- Haddam, CT
National Provider Identifier
1629237375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 003979
- Practice address
- 1588 Saybrook Rd
Haddam, CT 06438-1318 - Phone
- (860) 345-1090
- NPI assigned
- Jun 7, 2008
- Last updated
- Jun 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003979 | CT | Primary |
Addresses
Primary practice location
1588 Saybrook Rd
Haddam, CT 06438-1318
Mailing address
59 Baker LN
East Haddam, CT 06423-1734
Phone (860) 345-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003979 | CT | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212796800000",
"number": "1629237375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BAKER LN",
"city": "EAST HADDAM",
"state": "CT",
"postal_code": "064231734",
"telephone_number": "860-345-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1588 SAYBROOK RD",
"city": "HADDAM",
"state": "CT",
"postal_code": "064381318",
"telephone_number": "860-345-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARATT",
"first_name": "MARTHA",
"middle_name": "T",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-07",
"last_updated": "2008-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "003979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haddam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.