Mary M Martineau LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8394257-3501 Issued in UT

Legal business name

MARY M MARTINEAU LCSW LLC

Practice address

1355 S 1100 E
Salt Lake City, UT 84105

Phone

(801) 425-4187

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Mary M Martineau, LCSWNPI 1124404504

Title

Sole Owner

Phone

(801) 425-4187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Martineau

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1124404504
  Medicare reassignment NPD Authorized official
• Michelle Markay Nelson, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1427196849
  NPD (past)
• Valerie Poltoratzsky

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1932293958
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1770039109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052432",
            "telephone_number": "801-425-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84105",
            "telephone_number": "801-425-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M MARTINEAU LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "801-425-4187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8394257-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Eileen Lehman, LCSW, PLLC
• Mary Elizabeth Osoro
• Mary Jane Norman MD a Professional Corporation
• Mary Jann Dewitt LLC
• Mary K. Beard MD
• Mary M. Martineau
• Marybeth Raynes L.C.S.W., PC
• Elizabeth Defriez Maryon, CMHC STUDENT
• Sandy Hermosa Mas-Soto
• Carmen Haydee Mas, PH.D.

• Community/Behavioral Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.