Ellen P Martin
Social Worker, Clinical in Mattapan, Massachusetts
1912364555- Practice location
- 201 River St, Mattapan, MA 02126-2713
- Phone
- 617-534-6191
- Fax
- 857-288-2200
- Last updated
- January 27, 2016
Ellen P Martin is a Social Worker, Clinical based in Mattapan, MA. Ellen P Martin practices in Mattapan, MA. The NPI Number for Ellen P Martin is 1912364555 and holds a License No. LICSW 117352 (MA). The current practice location address for Ellen P Martin is 201 River St, Mattapan, MA 02126-2713 and can be reached out via phone at 617-534-6191 and via fax at 857-288-2200.
Provider Profile Details
- NPI Number
- 1912364555
- Provider Name
- Ellen P Martin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 River St, Mattapan, MA 02126-2713
- Phone Number
- 617-534-6191
- Fax Number
- 857-288-2200
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 27, 2016
- Last Update Date
- January 27, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 River St
Mattapan, MA 02126-2713 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2713
- Phone Number
- 617-534-6191
- Fax Number
- 857-288-2200
Provider Business Mailing Address Details
- Address
- 1010 Massachusetts Ave
Boston, MA 02118-2600 - City
- Boston
- State
- MA
- Zip
- 02118-2600
- Phone Number
- 617-419-3408
- Fax Number
- 617-534-2611
License Information
- License Number
- LICSW 117352
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Mattapan, MA
View all Social Worker, Clinical providers in Mattapan →- Abdul Jabbar MuhammadSocial Worker, Clinical · NPI 1780547208
- Catherine S Jacobs, LICSWSocial Worker, Clinical · NPI 1942731062
- Christopher R Hutchison-Jones, LICSWSocial Worker, Clinical · NPI 1285045930
- Dale I Labonte Urbina, LICSWSocial Worker, Clinical · NPI 1285944439
- Elizabeth BetancourtSocial Worker, Clinical · NPI 1770255457
- Isabelle C ScarnavackSocial Worker, Clinical · NPI 1336914332
Frequently Asked Questions
What is the NPI number of Ellen P Martin?
The NPI number of Ellen P Martin is 1912364555. It was assigned on January 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Ellen P Martin?
Ellen P Martin is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW 117352.
Where does Ellen P Martin practice?
The practice location is 201 River St, Mattapan, MA 02126-2713. The office can be reached at 617-534-6191 (phone) or 857-288-2200 (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 1912364555 directly on the NPPES registry website.