Mari-Martha Fudge, MSW,LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1302697 Issued in OH

Practice address

527 S High St
Columbus, OH 43215-5602

Phone

(614) 227-9444

Fax

(614) 227-9445

NPI assigned

Dec 13, 2013

Last updated

Jul 22, 2015By 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 identifiers 1

Other names 1

• Marti Fudge Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1740601970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155602",
            "telephone_number": "614-227-9444",
            "fax_number": "614-227-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155602",
            "telephone_number": "614-227-9444",
            "fax_number": "614-227-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDGE",
        "first_name": "MARI-MARTHA",
        "credential": "MSW,LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1302697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTI",
            "last_name": "FUDGE",
            "credential": "MSW,LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eugene Y Fu, M.D.
• Idawari T. Fubara
• Molly Elizabeth Fuchs, MD
• Richard J Fuchs, MD
• Vadim Fuchs, D.O.
• Robert Paul Fudge
• Cynthia Nelly Fue, R.N
• Angelymar Fuentes, MD
• Patti Jo Fuentes, CDCA
• Claudia Fugate, LPC

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.