Emmanuelle Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63276 Issued in CA

Practice address

363 Somerset Rd
Piedmont, CA 94611-3336

Phone

(512) 574-5169

NPI assigned

May 17, 2023

Sex

Female

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2023.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1912698192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 SOMERSET RD",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113336",
            "telephone_number": "512-574-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SOMERSET RD",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113336",
            "telephone_number": "512-574-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EMMANUELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "63276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ludwig, PT, DPT
• John August Lundin, PSY.D.
• Susan Marie Lyon, PHD
• Carly Magnus, M.ED, BCBA
• Jill Ann Martenson, D.D.S.
• Cassandra May, DPT
• Ann McFarland, LCSW
• Imara Jahaan McMillan, DOULA
• Leticia Mendoza-Sobel, DDS
• Carol Anne Menz, RN, CNM, PHN

• All providers in Piedmont, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.