Individual provider Active NPI

Joseph Meinrad Martin, MSW

  • Social Worker
  • Wormleysburg, PA
National Provider Identifier
1740384734
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW000955L Issued in PA
Practice address
1035 Mumma Rd
Good Hope Psychotherapists
Wormleysburg, PA 17043-1147
Phone
(717) 975-5525
Fax
(717) 975-8815
NPI assigned
Sep 11, 2006
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW000955L PA Primary

Addresses

Primary practice location

1035 Mumma Rd
Good Hope Psychotherapists
Wormleysburg, PA 17043-1147

Mailing address

1035 Mumma Rd
Good Hope Psychotherapists
Wormleysburg, PA 17043-1147
Phone (717) 975-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100513000661 PA Practitioner - Clinical Social Worker 0547398414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1035 Mumma Rd
Suite 203
Wormleysburg, PA 17043-1147
Phone (717) 975-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW000955LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Hope Psychotherapists Inc CurrentSince Jun 21, 2010 Accepting new patients

Locations

1035 Mumma Rd
Wormleysburg, PA 17043
Phone (717) 566-0111

1035 Mumma Rd
Ste 203
Wormleysburg, PA 17043
Phone (717) 391-6808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1740384734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MUMMA RD",
            "address_2": "GOOD HOPE PSYCHOTHERAPISTS",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431147",
            "telephone_number": "717-975-5525",
            "fax_number": "717-975-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MUMMA RD",
            "address_2": "GOOD HOPE PSYCHOTHERAPISTS",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431147",
            "telephone_number": "717-975-5525",
            "fax_number": "717-975-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSEPH",
        "middle_name": "MEINRAD",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "LW000955L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.