KEITH H MARTINEZ (NPI# 1447596028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447596028 |
| Entity Type | Individual |
| Full Name | KEITH H MARTINEZ |
| Credential | LCSW, LCADC |
| Practice Address |
1 Corbett Way Eatontown NJ 07724-4247 |
| Practice Telephone | 7323807061 |
| Practice Fax Number | 7323807508 |
| Mailing Telephone | 7323807061 |
| Mailing Fax Number | 7323807508 |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00155000 | NJ | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05187400 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1 CORBETT WAY |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131703 | Dunphy Physical Therapy, Inc. | Physical Therapist | 1 Corbett Way, Eatontown, NJ 07724-2264 | 2006-07-06 |
| 1376141291 | Jennfer Marie Guzman | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2020-10-13 |
| 1003414939 | Matthew Steven Behrens | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2020-10-13 |
| 1689144941 | James Rawlins Price | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2018-11-29 |
| 1962972315 | Nicole Martinez | Counselor | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2018-11-28 |
| 1568813665 | Martha San Philip | Massage Therapist | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2016-06-29 |
| 1659595627 | Edward K Rodriguez | Physical Therapist | 1 Corbett Way, Eatontown, NJ 07724-2264 | 2007-04-12 |
| 1487771341 | Recovery Innovations, Inc. | Clinic/Center | 1 Corbett Way, Eatontown, NJ 07724-4247 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| 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 |
|---|---|---|---|---|
| 1275140907 | Camille Joyce O'brien | Social Worker | 400 Crawford St, Eatontown, NJ 07724-2959 | 2020-09-27 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1740712603 | Monae Mcconnell | Social Worker | 18 Paul Ave, Eatontown, NJ 07724-2223 | 2017-03-30 |
| 1235678467 | Jonathan Mason | Social Worker | 615 Hope Rd Ste 2a, Eatontown, NJ 07724-1273 | 2017-02-21 |
| 1326476516 | Allison Sacks | Social Worker | 614 Hope Road, Eatontown, NEW JERSEY 07724 | 2013-10-24 |
| 1639425671 | Rachel Perreault | Social Worker | 1 Main St Ste 301, Eatontown, NJ 07724-3905 | 2012-07-27 |
| 1821243312 | Michele Maraziti | Social Worker | 615 Hope Rd Ste 3a, Eatontown, NJ 07724-1273 | 2008-11-25 |
| 1801048996 | Sara Ruth Ross-finkelstein | Social Worker | 19 Alameda Ct, Eatontown, NJ 07724-2532 | 2008-10-21 |
| 1841498508 | Counseling & Education Through The Life Span | Social Worker | 615 Hope Rd Ste 4b, Eatontown, NJ 07724-1273 | 2007-07-04 |
| 1235205055 | Irene Sanborn | Social Worker | 46 Reynolds Dr, Eatontown, NJ 07724-2326 | 2006-11-24 |
| Find all providers in EATONTOWN | ||||
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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.