Patricia L. Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014671 Issued in IL

Practice address

27W130 Roosevelt Rd
Suite 203
Winfield, IL 60190-1611

Phone

(630) 588-8490

Fax

(630) 588-8491

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia L. McIntire Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pathways Psychology Services P.C.

  • Clinical Psychologist
  • Winfield, IL
  • NPI 1942485198
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1922558972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W130 ROOSEVELT RD",
            "address_2": "SUITE 203",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901611",
            "telephone_number": "630-588-8490",
            "fax_number": "630-588-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W130 ROOSEVELT RD",
            "address_2": "SUITE 203",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901611",
            "telephone_number": "630-588-8490",
            "fax_number": "630-588-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCINTIRE",
            "middle_name": "L.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luis A Manrique, M.D.
• Melissa J Manrique, MD
• Howard Manuel, P.T.
• Mark a Gapinski MD SC
• Amir C Marouni, M.D.
• Mable Martinez, CSFA
• Taras Masnyk, MD, PHD
• Masue Li MD SC
• Madhu Mathew, MD
• Avi Mazumdar, MD

• Clinical Social Worker in Winfield, IL
• Providers in Winfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.