Individual provider Active NPI

Christine M Martinez, LSW

  • Social Worker
  • West Chester, PA
National Provider Identifier
1659796118
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW126276 Issued in PA
Practice address
433 W Market St
Suite 7
West Chester, PA 19382-2818
Phone
(484) 919-6428
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW126276 PA Primary

Addresses

Primary practice location

433 W Market St
Suite 7
West Chester, PA 19382-2818

Mailing address

433 W Market St
Suite 7
West Chester, PA 19382-2818
Phone (484) 919-6428

Other identifiers 1

IdentifierTypeStateIssuer
SW126276OtherPAPA STATE SOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819002138 PA Practitioner - Clinical Social Worker 4981009578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Psychiatric Center IncGroup PAC ID 9537055405, 8 clinicians

Practice addresses (Care Compare)

3301 Ridge Pike
Eagleville, PA 19403-1411
Phone (610) 917-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126276PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Psychiatric Center Inc CurrentSince Aug 19, 2021 Accepting new patients
Collegeville Psychological Center Inc PastSince Jul 2, 2020 Accepting new patients

Locations

3774 Ridge Pike
Collegeville, PA 19426
Phone (610) 489-3333

3301 Ridge Pike
Norristown, PA 19403
Phone (610) 539-9100

601 Gay St
Phoenixville, PA 19460
Phone (610) 917-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1659796118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W MARKET ST",
            "address_2": "SUITE 7",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822818",
            "telephone_number": "484-919-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W MARKET ST",
            "address_2": "SUITE 7",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822818",
            "telephone_number": "484-919-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE SOCIAL WORK LICENSE",
            "identifier": "SW126276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.