Individual provider Active NPI

Amy C. Cox-Martins, LCSW

  • Clinical Social Worker
  • South Orange, NJ
National Provider Identifier
1639359243
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05191100 Issued in NJ
Practice address
111 S Orange Ave Ste 24
South Orange, NJ 07079-1931
Phone
(201) 725-4972
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 44SC05191100 NJ Primary

Addresses

Primary practice location

111 S Orange Ave Ste 24
South Orange, NJ 07079-1931

Mailing address

111 S Orange Ave Ste 24
South Orange, NJ 07079-1931
Phone (201) 725-4972

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05191100NJMDClinical Social Worker
044548NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1639359243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S ORANGE AVE STE 24",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791931",
            "telephone_number": "201-725-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S ORANGE AVE STE 24",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791931",
            "telephone_number": "201-725-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX-MARTINS",
        "first_name": "AMY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05191100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.