Active NPIIndividual provider

Ms. Jennie Martin, LICSW

Social Worker, Clinical in East Providence, Rhode Island

NPI Number1689898793
Practice location
900 Warren Ave, Suite 401, East Providence, RI 02914-1430
Fax
401-228-6236
Last updated
May 24, 2016

Jennie Martin is a Social Worker, Clinical based in East Providence, RI. Jennie Martin practices in East Providence, RI and has the professional credentials of LICSW. The NPI Number for Jennie Martin is 1689898793 and holds a License No. ISW01241 (RI). The current practice location address for Jennie Martin is 900 Warren Ave, Suite 401, East Providence, RI 02914-1430 and can be reached out via phone at 800-508-4908 and via fax at 401-228-6236.

Provider Profile Details

NPI Number
1689898793
Provider Name
Jennie Martin
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
900 Warren Ave, Suite 401, East Providence, RI 02914-1430
Phone Number
800-508-4908
Fax Number
401-228-6236
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Jennie Nagelhout (Former Name)
Provider Enumeration Date
April 12, 2007
Last Update Date
May 24, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Warren Ave
Suite 401
East Providence, RI 02914-1430
Zip
02914-1430
Phone Number
800-508-4908
Fax Number
401-228-6236
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
10 Davol Sq
Suite 400
Providence, RI 02903-4754
City
Providence
State
RI
Zip
02903-4754
Phone Number
401-421-4000
Fax Number
401-272-1456

License Information

License Number
ISW01241
License State
RI
Taxonomy
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 Ms. Jennie Martin, LICSW?

The NPI number of Ms. Jennie Martin, LICSW is 1689898793. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennie Martin, LICSW?

Ms. Jennie Martin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW01241.

Where does Ms. Jennie Martin, LICSW practice?

The practice location is 900 Warren Ave, Suite 401, East Providence, RI 02914-1430. The office can be reached at 800-508-4908 (phone) or 401-228-6236 (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 1689898793 directly on the NPPES registry website.

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