Individual provider Active NPI

Salvatore Martone, LCSW

  • Clinical Social Worker
  • Southbury, CT
National Provider Identifier
1982634150
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001168 Issued in CT
Practice address
145 Pepper Tree Hill LN
Southbury, CT 06488-2340
Phone
(203) 510-2079
Fax
(410) 861-6262
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 001168 CT Primary

Addresses

Primary practice location

145 Pepper Tree Hill LN
Southbury, CT 06488-2340

Mailing address

145 Pepper Tree Hill LN
Southbury, CT 06488-2340
Phone (203) 510-2079

Other identifiers 5

IdentifierTypeStateIssuer
1400001168CT01OtherCTANTHEM
079463OtherCTMHN
IP091189OtherCTAETNA
87726OtherCTUBH
055456OtherCTVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20111202000769 CT Practitioner - Clinical Social Worker 8224203294 Practice locations: Southbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Pepper Tree Hill LN
Southbury, CT 06488-2340
Phone (203) 510-2079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001168CTMDClinical Social Worker
1168CTMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1982634150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PEPPER TREE HILL LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882340",
            "telephone_number": "203-510-2079",
            "fax_number": "410-861-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PEPPER TREE HILL LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882340",
            "telephone_number": "203-510-2079",
            "fax_number": "410-861-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTONE",
        "first_name": "SALVATORE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1400001168CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "079463",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "IP091189",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "87726",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "055456",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.