Individual provider Active NPI

Victor Martini, LICSW

  • Clinical Social Worker
  • Bennington, VT
National Provider Identifier
1790149490
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0119622 Issued in VT
Practice address
100 Ledgehill Rd
Bennington, VT 05201-2273
Phone
(802) 442-5491
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089-0119622 VT Primary

Addresses

Primary practice location

100 Ledgehill Rd
Bennington, VT 05201-2273

Mailing address

100 Ledgehill Rd
Bennington, VT 05201-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20170602002144 VT Practitioner - Clinical Social Worker 6507133014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Counseling Service of Bennington County IncGroup PAC ID 0648226167, 9 clinicians

Practice addresses (Care Compare)

100 Ledgehill Rd
Bennington, VT 05201-2273
Phone (802) 442-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0119622VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Counseling Service of Bennington County, Inc. CurrentSince Jun 1, 2017 Accepting new patients

Locations

100 Ledgehill Rd
Bennington, VT 05201
Phone (802) 445-7300

316 Dewey St
Bennington, VT 05201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1790149490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEDGEHILL RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEDGEHILL RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012273",
            "telephone_number": "802-442-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "VICTOR",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0119622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.