Active NPI
Benjamin Marton, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1700384666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.022132
- Practice address
- 3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260 - Phone
- (773) 892-1933
- NPI assigned
- Jan 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.022132 | IL | Primary |
| Social Worker | 104100000X | 150102864 | IL |
Addresses
Primary practice location
3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260
Mailing address
3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260
Phone (773) 892-1933
Other practice location 1
8707 Skokie Blvd Ste 310
Skokie, IL 60077-2281
Phone (847) 568-1100
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 |
|---|---|---|---|
| 150102864 | IL | MD | Social Worker |
| 149.022132 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head Heart Therapy Inc | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1700384666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 N RAVENSWOOD AVE STE 239",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134260",
"telephone_number": "773-892-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 N RAVENSWOOD AVE STE 239",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134260",
"telephone_number": "773-892-1933"
}
],
"practiceLocations": [
{
"address_1": "8707 Skokie Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600772281",
"country_code": "US",
"telephone_number": "847-568-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTON",
"first_name": "BENJAMIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-25",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022132",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150102864",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.