Individual provider Active NPI

Annette Martinez, LCSW

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1679183164
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06003600 Issued in NJ
Practice address
377 Valley Rd # 1146
Clifton, NJ 07013-1319
Phone
(201) 719-0963
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TPSW2450 FL
Clinical Social Worker 1041C0700X 44SC06003600 NJ Primary

Addresses

Primary practice location

377 Valley Rd # 1146
Clifton, NJ 07013-1319

Mailing address

377 Valley Rd Ste 1146
Clifton, NJ 07013-1319
Phone (347) 635-4173

Other identifiers 2

IdentifierTypeStateIssuer
44SC06003600OtherNJLCSW
TPSW2450OtherFLLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251030003907 NJ Practitioner - Clinical Social Worker 2264921006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group NJ PCGroup PAC ID 8224559174, 14 clinicians

Practice addresses (Care Compare)

Hackettstown, NJ 07840
Phone (973) 576-5147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW2450FLMDClinical Social Worker
44SC06003600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group NJ, PC CurrentSince Oct 14, 2025 Accepting new patients
Lotus Psychotherapy Services LLC Clinical CurrentSince Sep 5, 2021 Accepting new patients
Living in Wellness Counseling Services LLC Clinical PastSince Aug 16, 2020 Accepting new patients

Locations

377 Valley Rd
Ste 1146
Clifton, NJ 07013
Phone (201) 719-0963

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

Organizations & group practices 3

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": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1679183164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD STE 1146",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "347-635-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD # 1146",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "201-719-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW2450",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06003600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC06003600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "TPSW2450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.