Active NPI
Maeve Lee Martin
- Clinical Social Worker
- Milton, MA
National Provider Identifier
1760888796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15W02622
- Practice address
- 14 Mulberry Rd
Milton, MA 02186 - Phone
- (401) 305-0321
- Fax
- (401) 946-1550
- NPI assigned
- Nov 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0136501TELE | VT | |
| Clinical Social Worker | 1041C0700X | 15W02622 | RI | Primary |
| Clinical Social Worker | 1041C0700X | CSW01572 | RI | |
| Clinical Social Worker | 1041C0700X | LICSW1140333 | MA | |
| Clinical Social Worker | 1041C0700X | 122255 | NY |
Addresses
Primary practice location
14 Mulberry Rd
Milton, MA 02186
Mailing address
14 Mulberry Rd
Milton, MA 02186
Phone (401) 305-0321
Other names 1
- Travis Lee Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW1140333 | MA | MD | Clinical Social Worker |
| 122255 | NY | MD | Clinical Social Worker |
| 15W02622 | RI | MD | Clinical Social Worker |
| CSW01572 | RI | MD | Clinical Social Worker |
| 089.0136501TELE | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1760888796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MULBERRY RD",
"city": "MILTON",
"state": "MA",
"postal_code": "02186",
"telephone_number": "401-305-0321",
"fax_number": "401-946-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MULBERRY RD",
"city": "MILTON",
"state": "MA",
"postal_code": "02186",
"telephone_number": "401-305-0321",
"fax_number": "401-946-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MAEVE",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0136501TELE",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "15W02622",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW01572",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1140333",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "122255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRAVIS",
"last_name": "MARTIN",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.