Dennis Michael Martin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106342 Issued in MA

Practice address

413 High St
Fall River, MA 02720-3306

Phone

(509) 677-9091

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Trusted Care LLC

  • Home Health Agency
  • Cranston, RI
  • NPI 1699216432
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811054950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 VALENTINE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204223",
            "telephone_number": "508-677-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 HIGH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203306",
            "telephone_number": "509-677-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASSACHUSET",
            "identifier": "P08357",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter D Martelly, MD
• Alyssa F Martin
• Amanda Lee Martin, NP
• Cameron Martin
• Cassandra Mary Martin
• Karen Ann Martin, LMHC
• Kendra Justine Martin, CNP
• Nancy M Martin, CRNA
• Natasha Martin, NP-BC
• Nicholas Robert Martin, MD

• Clinical Social Worker in Fall River, MA
• Providers in Fall River, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.