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MARTIMA SIMS LCSW
NPI 1437887130
Social Worker - Clinical in Lyndhurst, NJ

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
436 VALLEY BROOK AVE, LYNDHURST, NJ 07071(201) 298-3127 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, Mar 20, 2025, Aug 10, 2022 (3 updates tracked since 2022).

About Martima Sims Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIMA SIMS LCSW (NPI 1437887130) is an individual clinical provider in Lyndhurst, New Jersey, licensed in New Jersey (44SC06452300) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clifton, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437887130
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARTIMA SIMSCredential: LCSW
Location Address436 VALLEY BROOK AVELyndhurst, NJ 07071-6600
Mailing AddressPo Box 402Lyndhurst, NJ 07071-0402 · (201) 298-3127
Phone(201) 298-3127
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 10, 2022
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1437887130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06452300
Definition
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.
436 VALLEY BROOK AVE, Lyndhurst, NJ 07071
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Secondary Practice Location 1

Location 11135 Broad St Ste 1Clifton, NJ 07013-3346 · Phone (973) 754-4100 · Fax (973) 754-4191

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martima Sims Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305364506
PECOS Enrollment IDI20250520004101
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Martima Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Josephs Medical Group PC
6.7 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERAPY & LIFE SKILLS COUNSELING LLC
Counselor (Mental Health)
436 VALLEY BROOK AVE
LYNDHURST, NJ 07071
Bergen County (201) 298-3127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martima Sims's NPI number?

The NPI number for Martima Sims is 1437887130. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Martima Sims located?

Martima Sims practices at 436 Valley Brook Ave, Lyndhurst, NJ 07071. The listed phone number is (201) 298-3127.

What is Martima Sims's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Martima Sims enrolled in Medicare?

Yes. Martima Sims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Martima Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martima Sims reassigns Medicare benefits to St Josephs Medical Group PC (Paterson, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martima Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martima Sims accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Martima Sims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martima Sims was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.