Individual provider Active NPI

Christina Marie Martorano, LCSW

  • Clinical Social Worker
  • Spring Grove, IL
National Provider Identifier
1629676374
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019614 Issued in IL
Practice address
2440 Westward Dr Unit B
Spring Grove, IL 60081-8888
Phone
(847) 445-0023
NPI assigned
Oct 14, 2020
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.019614 IL Primary

Addresses

Primary practice location

2440 Westward Dr Unit B
Spring Grove, IL 60081-8888

Mailing address

PO Box 410
Spring Grove, IL 60081-0410
Phone (847) 497-0854

Other practice location 1

4704 Brockham Ct
Woodstock, IL 60098-8711
Phone (217) 778-5790

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

LicenseStateTypeSpecialty
149.019614ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Grove Wellness PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1629676374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600810410",
            "telephone_number": "847-497-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WESTWARD DR UNIT B",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818888",
            "telephone_number": "847-445-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4704 Brockham Ct",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600988711",
            "country_code": "US",
            "telephone_number": "217-778-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTORANO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.