ELLEN P MARTIN (NPI# 1912364555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912364555 |
| Entity Type | Individual |
| Full Name | ELLEN P MARTIN |
| Practice Address |
201 River St Mattapan MA 02126-2713 |
| Mailing Address |
1010 Massachusetts Ave Boston MA 02118-2600 |
| Practice Telephone | 6175346191 |
| Practice Fax Number | 8572882200 |
| Mailing Telephone | 6174193408 |
| Mailing Fax Number | 6175342611 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LICSW 117352 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1538685110 | Ellen Lorraine Martin | Nurse Practitioner | 4901 108th St Sw, Lakewood, WA 98499-3724 | 2017-08-16 |
| 1073837878 | Ellen Crosby Rou Martin | Speech-Language Pathologist | 7522 Wiles Rd, Suite 207, Coral Springs, FL 33067-2062 | 2010-03-23 |
| 1508044124 | Ellen Elizabeth Martin | Occupational Therapist | 1821 S Stoughton Rd, Dean Medical Center, Madison, WI 53716-2257 | 2008-02-06 |
| 1013138684 | Ellen A Martin | Registered Nurse | 3853 Rosecrans St., San Diego, CA 92110 | 2007-05-01 |
| 1801924352 | Ellen Martin | Licensed Practical Nurse | 619 N Main St, Muskogee, OK 74401-4431 | 2007-02-28 |
| 1720184583 | Ellen M Martin | Nurse Anesthetist, Certified Registered | 2603 Kaiser Blvd, Wyomissing, PA 19610-3341 | 2006-09-16 |
| 1639167638 | Ellen Martin | Family Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2005-10-12 |
| Street Address |
201 RIVER ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043370968 | Phillipe Wayne Copeland | Social Worker | 201 River St, Mattapan, MA 02126-2713 | 2006-12-11 |
| 1366063752 | Magaly Olivares | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2020-04-27 |
| 1356981773 | Ashlyn P Medeiros | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2020-01-14 |
| 1285289322 | Torleah A Washington | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2019-08-06 |
| 1134616931 | Pamela J Desilva | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2018-04-17 |
| 1356838155 | Ana Lidia Lopez | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2018-04-17 |
| 1417469750 | Donna J Miller | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2017-10-26 |
| 1417314949 | Maria I Fitzpatrick | Social Worker | 201 River St, Mattapan, MA 02126-2713 | 2016-01-28 |
| 1285045930 | Christopher R Hutchison-jones | Social Worker | 201 River St, Mattapan, MA 02126-2713 | 2014-05-15 |
| 1063715241 | Anita Viola Nichols-habib | Counselor | 201 River St, Mattapan, MA 02126-2713 | 2010-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| 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 |
|---|---|---|---|---|
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1942731062 | Catherine Susan Jacobs | Social Worker | 612 Norfolk St, Hour House Boston, Inc., Mattapan, MA 02126-2363 | 2017-03-21 |
| 1821221227 | Janelle Roache | Social Worker | 57 River St, Mattapan, MA 02126-2969 | 2009-09-01 |
| 1548434798 | Terri Renee Nelson | Social Worker | 53 Cedar St, Mattapan, MA 02126-2946 | 2008-04-18 |
| 1043370968 | Phillipe Wayne Copeland | Social Worker | 201 River St, Mattapan, MA 02126-2713 | 2006-12-11 |
| 1285299438 | Alexis Dove Mccrohan | Social Worker | 1135 Morton St, Mattapan, MA 02126-2834 | 2019-05-03 |
| 1508318924 | Sarah Lennox | Social Worker | 1575 Blue Hill Ave, Mattapan, MA 02126 | 2016-11-02 |
| 1467909622 | Jessica Matthews | Social Worker | 1575 Blue Hill Ave, Mattapan, MA 02126-2122 | 2016-09-06 |
| 1417314949 | Maria I Fitzpatrick | Social Worker | 201 River St, Mattapan, MA 02126-2713 | 2016-01-28 |
| 1285045930 | Christopher R Hutchison-jones | Social Worker | 201 River St, Mattapan, MA 02126-2713 | 2014-05-15 |
| Find all providers in MATTAPAN | ||||
Please comment or provide details below to improve the information on ELLEN P MARTIN.
| 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.