Individual provider Active NPI

Carlos R Storck-Martinez

  • Clinical Social Worker
  • Galloway, NJ
National Provider Identifier
1730038308
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06615200 Issued in NJ
Practice address
76 W Jimmie Leeds Rd Ste 305
Galloway, NJ 08205-9418
Phone
(609) 916-6500
NPI assigned
Jan 26, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06615200 NJ Primary

Addresses

Primary practice location

76 W Jimmie Leeds Rd Ste 305
Galloway, NJ 08205-9418

Mailing address

76 W Jimmie Leeds Rd Ste 305
Galloway, NJ 08205-9418
Phone (609) 916-6500

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
I20260424002100 NJ Practitioner - Clinical Social Worker 3577030782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

76 W Jimmie Leeds Rd
Suite 305
Galloway, NJ 08205-9418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06615200NJMDClinical Social Worker

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": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1730038308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 305",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059418",
            "telephone_number": "609-916-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 305",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059418",
            "telephone_number": "609-916-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK-MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06615200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.