Organization Active NPI

Martin Professional

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1649601634
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0805481 Issued in NY
Legal business name
MARTIN PROFESSIONAL
Practice address
18 E 127TH St
1St Floor
New York, NY 10035-1296
Phone
(646) 398-7002
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Porsche L Martin, LCSW
Title
Psychotherapy and Consulting
Phone
(646) 398-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0805481 NY Primary

Addresses

Primary practice location

18 E 127TH St
1St Floor
New York, NY 10035-1296

Mailing address

18 E 127TH St
1St Floor
New York, NY 10035-1296
Phone (646) 398-7002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1649601634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 127TH ST",
            "address_2": "1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351296",
            "telephone_number": "646-398-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 127TH ST",
            "address_2": "1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351296",
            "telephone_number": "646-398-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PORSCHE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPY AND CONSULTING",
        "authorized_official_telephone_number": "646-398-7002",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0805481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.