Active NPI
Martin Professional
- Clinical Social Worker
- New York, NY
National Provider Identifier
1649601634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0805481
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.