Marti Hillenbrand, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10737 Issued in FL

Practice address

10175 Fortune Parkway
Suite 1106
Jacksonville, FL 32256-6746

Phone

(904) 982-6620

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Craft Behavioral Health Clinic

  dba Craft Laser Clinic

  • Technician
  • Jacksonville, FL
  • NPI 1184308108
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1912265471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058624",
            "telephone_number": "904-982-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PARKWAY",
            "address_2": "SUITE 1106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566746",
            "telephone_number": "904-982-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLENBRAND",
        "first_name": "MARTI",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Hill, LMHC, LPC
• Yvonne M Hill
• Brandon Neil Hillard, APRN
• Chloe Marie Hille, DO
• Hilleary C Rockwell MD
• Isabella Grace Chris Hillerby, AUD
• Sheri Hillesheim
• Madison Hilley
• Carolyn Syliva Hillhouse-Jones
• Kalyn Renae Hilliard, MSW, RCSWI

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.