Active NPI
Martha Whitford, LISAC
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1669557070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LISAC 1628
- Practice address
- 1402 S Central Ave
CPLC Via de Amistad
Phoenix, AZ 85004 - Phone
- (602) 257-5530
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LISAC 1628 | AZ | Primary |
Addresses
Primary practice location
1402 S Central Ave
CPLC Via de Amistad
Phoenix, AZ 85004
Mailing address
1046 E Buckeye Rd
CPLC Administration
Phoenix, AZ 85034
Phone (602) 254-4827
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
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC 1628 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicanod Por la Causa | Past | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1427155704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669557070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 E BUCKEYE RD",
"address_2": "CPLC ADMINISTRATION",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85034",
"telephone_number": "602-254-4827",
"fax_number": "602-307-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S CENTRAL AVE",
"address_2": "CPLC VIA DE AMISTAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85004",
"telephone_number": "602-257-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFORD",
"first_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LISAC 1628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.