Janice Maddison Martensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10493826-3501 Issued in UT

Practice address

51 E 800 N
Spanish Fork, UT 84660-1210

Phone

(435) 314-9623

NPI assigned

Jan 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Janice Maddison Fillmore Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healworthy Therapy, LLC

  • Social Worker
  • Orem, UT
  • NPI 1851162820
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1801218698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 S 400 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840588304",
            "telephone_number": "801-885-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601210",
            "telephone_number": "435-314-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 S Orem Blvd",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840586979",
            "country_code": "US",
            "telephone_number": "385-429-2126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTENSEN",
        "first_name": "JANICE",
        "middle_name": "MADDISON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10493826-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-2224657",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "FILLMORE",
            "middle_name": "MADDISON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maple Mountain Birth Center
• Maple Mountain Spinal Rehab, PLLC
• Tessa Marie, LMFT
• Amber D Marshall
• Kim Youd Marshall, RPH
• Alison Marie Martin, CMHC
• Debra Martin
• Jessica Martin, MS
• Kristine E. Martin, RN, MSN, APN
• Robin Martin

• Clinical Social Worker in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.