Active NPI
Ricardo Santos Martinez, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1932739299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019827
- Practice address
- 3621 Aramingo Ave # C5
Philadelphia, PA 19134-4607 - Phone
- (215) 444-7472
- NPI assigned
- Jan 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW019827 | PA | Primary |
Addresses
Primary practice location
3621 Aramingo Ave # C5
Philadelphia, PA 19134-4607
Mailing address
30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Clinical | Current | Accepting new patients |
Locations
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
3621 Aramingo Ave
#C5
Philadelphia, PA 19134
Phone (215) 444-7472
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1932739299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MONROE ST STE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606032420",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 ARAMINGO AVE # C5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344607",
"telephone_number": "215-444-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS MARTINEZ",
"first_name": "RICARDO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.