Israel Martinez, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05502600 Issued in NJ

Legal business name

ISRAEL MARTINEZ, LCSW LLC

Practice address

187 Grove St
Montclair, NJ 07042-4214

Phone

(973) 866-5120

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Israel Martinez Jr., LCSW

Title

Manager

Phone

(973) 866-5120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1871939991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424214",
            "telephone_number": "973-866-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRAEL MARTINEZ, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-866-5120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05502600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Martha Vanessa Jackman-Bivas, OT
• Anna Marie Jackson, LPC

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.