Organization Active NPI

Jessica Michelle Martinez Therapy LLC

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1871320747
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA MICHELLE MARTINEZ THERAPY LLC
Practice address
1395 W 10TH St
Cleveland, OH 44113-1292
Phone
(312) 342-5033
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Jessica Michelle Martinez, LCSW, LISW-SNPI 1538799614
Title
Therapist
Phone
(312) 342-5033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1395 W 10TH St
Cleveland, OH 44113-1292

Mailing address

4535 Willowbrook Dr
Mentor, OH 44060-1037

Other practice location 1

1395 W 10th St
Cleveland, OH 44113-1292
Phone (312) 342-5033

National Provider Directory

National Provider Directory

Locations

1395 W 10th St
Cleveland, OH 44113
Phone (216) 621-7085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1871320747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 WILLOWBROOK DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 W 10TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131292",
            "telephone_number": "312-342-5033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441131292",
            "country_code": "US",
            "telephone_number": "312-342-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSICA MICHELLE MARTINEZ THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "312-342-5033",
        "authorized_official_credential": "LCSW, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.