Martha A Phillips, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105315 Issued in MA

Practice address

7 Everett Paine Blvd
Marblehead, MA 01945-1138

Phone

(781) 631-9170

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1629550546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVERETT PAINE BLVD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451138",
            "telephone_number": "781-631-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EVERETT PAINE BLVD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451138",
            "telephone_number": "781-631-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARTHA",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Dibona Pastan, D.M.D.
• Natalya N Pastuhova
• Patty Decotis Therapist
• Paul Milone, D.C., P.C.
• Susan Jeanne Penava, PHD
• Jamie Pierce, LICSW
• Kristen Mackenzie Pollard
• Sherri Potenzone
• Private Home Care
• Alexandra R Proch

• Clinical Social Worker in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.