Individual provider Active NPI

Martha Glas Field, LICSW

  • Clinical Social Worker
  • Chaska, MN
National Provider Identifier
1821160813
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11720 Issued in MN
Practice address
112 E 5TH St Ste 202
Chaska, MN 55318-2252
Phone
(952) 448-7052
Fax
(952) 448-7029
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11720MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Specialists, Inc Clinical Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11720 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

112 E 5TH St Ste 202
Chaska, MN 55318-2252

Mailing address

112 E 5TH St Ste 202
Chaska, MN 55318-2252
Phone (952) 448-7052

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821160813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 5TH ST STE 202",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182252",
            "telephone_number": "952-448-7052",
            "fax_number": "952-448-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 5TH ST STE 202",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182252",
            "telephone_number": "952-448-7052",
            "fax_number": "952-448-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "MARTHA",
        "middle_name": "GLAS",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.