Jessie Yvonne Martin-Ford, LMSW,ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801071569 Issued in MI

Practice address

4646 John R St
MH-11
Detroit, MI 48201-1916

Phone

(313) 576-3342

Fax

(313) 576-1091

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• John D. Dingell VA Medical Center

  • VA Clinic/Center
  • Detroit, MI
  • NPI 1538272828
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730190158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25610 SHIAWASSEE RD",
            "address_2": "APT 261",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343720",
            "telephone_number": "248-352-4965",
            "fax_number": "313-576-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "MH-11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3342",
            "fax_number": "313-576-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-FORD",
        "first_name": "JESSIE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LMSW,ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Martens, MPT
• Karen Ann Martens, PA
• Kellie Martens
• Symone Leslie Martin Fowler, MD
• Lindsay Marie Martin-Engel, M.D.
• Pamela Martin-Kimbrough, PA-C
• Lori E Martin-Spratling, LBSW, M.ED
• Abey Abraham Martin, DO
• Alissa M Martin, MD
• Arielle Martin

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• 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.

Verify at the official NPI Registry.