Active NPIIndividual providerSole proprietor

Ellen P Martin

Social Worker, Clinical in Mattapan, Massachusetts

NPI Number1912364555
Practice location
201 River St, Mattapan, MA 02126-2713
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
Zip
02126-2713
Phone Number
617-534-6191
Fax Number
857-288-2200
Mattapan, MA 02126Get directions →

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

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 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.

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