JANICE MARTIN LICENSED CLINICAL SOCIAL WORKER PC
NPI 1902427941
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Jefferson, NY
About Janice Martin Licensed Clinical Social Worker Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANICE MARTIN LICENSED CLINICAL SOCIAL WORKER PC (NPI 1902427941) is a healthcare organization registered as a mental health (including community mental health center) in Port Jefferson, New York and active in the NPI registry since April 2020. The organization lists Janice M Martin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Janice Martin Licensed Clinical Social Worker Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Janice Martin Licensed Clinical Social Worker PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Janice Martin Licensed Clinical Social Worker PC's NPI number?
The NPI number for Janice Martin Licensed Clinical Social Worker PC is 1902427941. It was assigned to this organization in the NPPES registry on April 30, 2020.
Where is Janice Martin Licensed Clinical Social Worker PC located?
Janice Martin Licensed Clinical Social Worker PC is located at 710 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 680-7222.
What is Janice Martin Licensed Clinical Social Worker PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Janice Martin Licensed Clinical Social Worker PC enrolled in Medicare?
Yes. Janice Martin Licensed Clinical Social Worker PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Janice Martin Licensed Clinical Social Worker PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Janice Martin Licensed Clinical Social Worker PC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (11) and Mental Health Counselor (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Janice Martin Licensed Clinical Social Worker PC was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Janice Martin Licensed Clinical Social Worker Pc · NPI 1902427941
Mental Health (Including Community Mental Health Center) organization in Port Jefferson, New York. Organization record, active in the CMS NPPES registry since April 30, 2020.
## Identity
- **NPI:** 1902427941 (Entity type: Organization)
- **Enumerated:** April 30, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Janice Martin, PRESIDENT
## Practice location
- **Address:** 710 MAIN ST, Port Jefferson, NY 11777-2278
- **Phone:** (631) 680-7222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (11), Mental Health Counselor (1); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902427941) · Data from the CMS NPPES public registry.