Janice M Martin, LCSW | |
407 E Main St, Port Jefferson, NY 11777-1866 | |
(631) 474-2934 | |
Not Available |
Full Name | Janice M Martin |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 35 Years |
Location | 407 E Main St, Port Jefferson, New York |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336205350 | NPI | - | NPPES |
02453487 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R041079-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Janice Martin Licensed Clinical Social Worker Pc | 6305252537 | 3 |
Entity Name | Janice Martin Licensed Clinical Social Worker Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902427941 PECOS PAC ID: 6305252537 Enrollment ID: O20210312000178 |
Mailing Address | Practice Location Address |
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Janice M Martin, LCSW Po Box 433, Port Jefferson, NY 11777-0433 Ph: (631) 474-2934 | Janice M Martin, LCSW 407 E Main St, Port Jefferson, NY 11777-1866 Ph: (631) 474-2934 |
Ms. Abby Rachel Leefer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Puritan Path, Port Jefferson, NY 11777 Phone: 631-928-9808 Fax: 631-928-9808 | |
Mrs. Alice Rose Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Highlands Blvd Ste 101, Port Jefferson, NY 11777 Phone: 631-686-7960 Fax: 631-331-8259 | |
Dr. Susan H. Berg, D.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 105 Whittier Pl, Port Jefferson, NY 11777 Phone: 631-928-2175 | |
Mrs. Nicole Marie Tobin, R-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Main St, Port Jefferson, NY 11777 Phone: 631-455-6951 | |
Mr. Robert David Polin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 646 Main St, Lower Level, Port Jefferson, NY 11777 Phone: 631-689-8862 Fax: 631-246-6492 | |
Mrs. Paula Ann Lieberman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 E Broadway, Port Jefferson, NY 11777 Phone: 631-473-7492 Fax: 631-473-7492 | |
Jacqueline A Major, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 Owasco Dr, Port Jefferson, NY 11777 Phone: 631-331-9341 |