CRISTAL MARTIN (NPI# 1700448396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700448396 |
| Entity Type | Individual |
| Full Name | CRISTAL MARTIN |
| Credential | MSW, LCSW |
| Practice Address |
1290 Tremont St Roxbury MA 02120-3432 |
| Practice Telephone | 6174271000 |
| Mailing Telephone | 6174271000 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
225254 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831699321 | Cristal Dawn Martin | Licensed Vocational Nurse | 2410 W 2nd St, Monahans, TX 79756-6913 | 2018-02-20 |
| Street Address |
1290 TREMONT ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02120-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340594 | Ashley Olivier | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2020-09-14 |
| 1750917480 | Xixi Zhou | Student in an Organized Health Care Education/Training Program | 1290 Tremont St, Roxbury, MA 02120-3432 | 2020-03-13 |
| 1124662960 | Nesreen Ghazi Jawhari | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-11-05 |
| 1447891858 | Asha Daniel Kunnenkeri | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-10-07 |
| 1003457763 | Jasmine F Haque-ahmed | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-10-03 |
| 1922669332 | Elsa Jimenez | Counselor | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-06-26 |
| 1891350419 | Nael Sayegh | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-05-08 |
| 1780248351 | Kimberly Phipps | Midwife | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-04-29 |
| 1477010197 | James Steven Rice | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-02-28 |
| 1629535158 | Mays Husam Al-saffar | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708684 | Christine E Dixon | Social Worker | 550 Dudley St, Roxbury, MA 02119-2770 | 2018-11-04 |
| 1871070680 | Madeline Gillespie | Social Worker | 164 School St, Roxbury, MA 02119-3113 | 2018-07-24 |
| 1750881900 | Tanya Demyer Mclean | Social Worker | 8 Notre Dame St, Roxbury, MA 02119-1231 | 2018-02-14 |
| 1346670536 | William Hastings | Social Worker | 17 Greenville St, Roxbury, MA 02119-2315 | 2013-11-25 |
| 1568736072 | Andres C Strohmeyer | Social Worker | 76 Amory St, Roxbury, MA 02119-1012 | 2012-03-01 |
| 1184938011 | Erika Mayela Vargas | Social Worker | 78 Forrest St, Roxbury, MA 02119-3345 | 2010-08-03 |
| 1417123191 | Kristin Bothwell | Social Worker | 4 Woodville Ter, Roxbury, MA 02119-2113 | 2008-05-02 |
| 1003085432 | Nia-sue Mitchum | Social Worker | 3 Aspen St, Roxbury, MA 02119-2201 | 2008-02-29 |
| 1487835690 | Stacy Lee Calhoun | Social Worker | 78 Forest St, Roxbury, MA 02119-3345 | 2007-11-15 |
| 1801924212 | Talia Mary Bruce | Social Worker | 45 Dimock St., Richards Building, Roxbury, MA 02119 | 2007-02-28 |
| Find all providers in ROXBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.