Marta Southworth LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARTA SOUTHWORTH LLC

Practice address

41 S Main St Ste 2
West Hartford, CT 06107-2448

Phone

(860) 348-3776

Fax

(860) 650-0042

NPI assigned

Jul 28, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Marta Southworth

Title

Owner

Phone

(860) 305-3585

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1912551003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST STE 2",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072448",
            "telephone_number": "860-348-3776",
            "fax_number": "860-650-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MAIN ST STE 2",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072448",
            "telephone_number": "860-348-3776",
            "fax_number": "860-650-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA SOUTHWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "SOUTHWORTH",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-305-3585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martasouthworth@therapyemail.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email address",
            "address_1": "41 S Main St Ste 2",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061072448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Martha Barcelos Aprn, Pmhnp, LLC
• Martin D Oliveira Psy D LLC
• Brent Martin, D.D.S. M.B.A.
• Collette Martin, PA-C
• Daniel James Martin, PH.D., ABPP

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.