Individual provider Active NPI

Olivia Martinez, LSW

  • Social Worker
  • Hamilton, NJ
National Provider Identifier
1982281564
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06646300 Issued in NJ
Practice address
2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone
(609) 222-4902
NPI assigned
Mar 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06646300 NJ Primary

Addresses

Primary practice location

2083 Klockner Rd
Hamilton, NJ 08690-3415

Mailing address

1839 Exton Ave
Hamilton, NJ 08610-3322
Phone (609) 610-8849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127001256 NJ Practitioner - Clinical Social Worker 9830676360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive BeginningsGroup PAC ID 3678837358, 14 clinicians

Practice addresses (Care Compare)

2003 Lincoln Dr W
Suite B
Marlton, NJ 08053-1529
Phone (856) 886-8839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06646300NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mind CurrentSince Apr 6, 2021 Accepting new patients
Positive Beginnings CurrentSince Jan 1, 2026 Accepting new patients

Locations

2003 Lincoln Dr W
Ste B
Marlton, NJ 08053
Phone (856) 886-8839

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

Organizations & group practices 2

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1982281564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 EXTON AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086103322",
            "telephone_number": "609-610-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-222-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "OLIVIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06646300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.