Active NPIIndividual providerSole proprietor

Keith H Martinez, LCSW, LCADC

Social Worker, Clinical in Eatontown, New Jersey

NPI Number1447596028
Practice location
1 Corbett Way, Eatontown, NJ 07724-4247
Fax
732-380-7508
Last updated
March 27, 2013

Keith H Martinez is a Social Worker, Clinical based in Eatontown, NJ. Keith H Martinez practices in Eatontown, NJ and has the professional credentials of LCSW, LCADC. The NPI Number for Keith H Martinez is 1447596028 and holds a License No. 37LC00155000 (NJ). The current practice location address for Keith H Martinez is 1 Corbett Way, Eatontown, NJ 07724-4247 and can be reached out via phone at 732-380-7061 and via fax at 732-380-7508.

Provider Profile Details

NPI Number
1447596028
Provider Name
Keith H Martinez
Credential
LCSW, LCADC
Provider Entity Type
Individual
Gender
Male
Address
1 Corbett Way, Eatontown, NJ 07724-4247
Phone Number
732-380-7061
Fax Number
732-380-7508
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2012
Last Update Date
March 27, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Corbett Way
Eatontown, NJ 07724-4247
Zip
07724-4247
Phone Number
732-380-7061
Fax Number
732-380-7508
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
1 Corbett Way
Eatontown, NJ 07724-4247
City
Eatontown
State
NJ
Zip
07724-4247
Phone Number
732-380-7061
Fax Number
732-380-7508

License Information

License Number (1)
37LC00155000
License State (1)
NJ
License Number (2)
44SC05187400
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith H Martinez, LCSW, LCADC?

The NPI number of Keith H Martinez, LCSW, LCADC is 1447596028. It was assigned on December 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Keith H Martinez, LCSW, LCADC?

Keith H Martinez, LCSW, LCADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 37LC00155000.

Where does Keith H Martinez, LCSW, LCADC practice?

The practice location is 1 Corbett Way, Eatontown, NJ 07724-4247. The office can be reached at 732-380-7061 (phone) or 732-380-7508 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447596028 directly on the NPPES registry website.

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