Jennie Martin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01241 Issued in RI

Practice address

900 Warren Ave
Suite 401
East Providence, RI 02914-1430

Phone

(800) 508-4908

Fax

(401) 228-6236

NPI assigned

Apr 12, 2007

Last updated

May 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennie Nagelhout Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Martin L. Roussel, D.C. Dba East Bay Chiropractic Health Center

  • Chiropractor
  • Bristol, RI
  • NPI 1093917494
  NPD (past)
• Ronald N. Mancini and Associates

  • Counselor
  • Bristol, RI
  • NPI 1811025026
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1689898793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WARREN AVE",
            "address_2": "SUITE 401",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141430",
            "telephone_number": "800-508-4908",
            "fax_number": "401-228-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "NAGELHOUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary R Marecek, MD
• Kelly Elisabeth Markiewicz, R.D., L.D.
• Caillin Wyse Marquardt, MD
• Lisa Marsh, MED, BCBA, LBA
• Nancy F Marshall, RN, MSW, LICSW
• Robert William Martin
• Sarah Elizabeth Martin, PHD
• Christina Martins, CPNP
• Ryan V Marzetta, PT
• Tonya Ann Maselli, LICSW

• Clinical Social Worker in East Providence, RI
• Providers in East Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.