Shannon Lynn Martello

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05997000 Issued in NJ

Practice address

535 Route 38 Ste 149C
Cherry Hill, NJ 08002-2953

Phone

(856) 655-6635

NPI assigned

Sep 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peaceful Soul Therapeutic Services

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1477121028
  NPD Authorized official

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1952883886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ROUTE 38 STE 149C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ROUTE 38 STE 149C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022953",
            "telephone_number": "856-655-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLO",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05997000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Maronski, OTR/L
• Laura Marozzi, IBCLC
• Danielle Marroquin
• Ann Elizabeth Marshall, MPT
• Melissa Marshall
• Brooke M Martin, OT
• Eric L. Martin, M.D.
• Lesley Martin, DPT
• Rachele L Martin
• Ronald Alan Martin Jr., PROGRAM SPONSOR

• Clinical Social Worker in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.