Individual provider Active NPI

Roseanne Martinez, LCSW

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1801224514
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089322 Issued in NY
Practice address
100 Hutchinson Blvd
Mount Vernon, NY 10552-2510
Phone
(914) 329-9158
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 089322 NY Primary

Addresses

Primary practice location

100 Hutchinson Blvd
Mount Vernon, NY 10552-2510

Mailing address

100 Hutchinson Blvd
Mount Vernon, NY 10552-2510
Phone (914) 329-9158

Other practice location 1

275 North St
Harrison, NY 10528-1140
Phone (914) 967-6500

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

LicenseStateTypeSpecialty
089322NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1801224514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUTCHINSON BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522510",
            "telephone_number": "914-329-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUTCHINSON BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522510",
            "telephone_number": "914-329-9158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 North St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105281140",
            "country_code": "US",
            "telephone_number": "914-967-6500",
            "fax_number": "914-925-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROSEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.