Amanda Ines Martin, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

123097 Issued in NY

Practice address

9114 37TH Ave
Jackson Heights, NY 11372-7920

Phone

(718) 779-1600

NPI assigned

Sep 12, 2024

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

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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1760218127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727920",
            "telephone_number": "718-779-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727920",
            "telephone_number": "718-779-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112103262",
            "country_code": "US",
            "telephone_number": "718-377-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMANDA",
        "middle_name": "INES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "123097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Antonio Marroquin
• Frederick Algenis Marte, LMSW
• Jasmine Marte, DDS
• Tania V Martell Soliz, LMT
• Martes Physical Therapy PC
• Lauren Nicole Martin, M.A.
• Nadia A Martinez de Pimentel, M.D.
• Alexis Rebecca Martinez-Ortiz
• Maria Mercedes Martinez
• Sergio Martinez

• Social Worker in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.