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ELLEN P MARTIN
NPI 1912364555
Social Worker - Clinical in Mattapan, MA

Active since January 27, 2016
201 RIVER ST, MATTAPAN, MA 02126(617) 534-6191(857) 288-2200 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen P Martin NPPES

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

ELLEN P MARTIN (NPI 1912364555) is an individual clinical provider in Mattapan, Massachusetts, licensed in Massachusetts (LICSW 117352) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1912364555
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN P MARTIN
Location Address201 RIVER STMattapan, MA 02126-2713
Mailing Address1010 Massachusetts AveBoston, MA 02118-2600 · (617) 419-3408 · Fax (617) 534-2611
Phone(617) 534-6191
Fax(857) 288-2200
Sole ProprietorYes
Enumeration DateJanuary 27, 2016
✔ NPI 1912364555 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 MA · LICSW 117352
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.
201 RIVER ST, Mattapan, MA 02126
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Other Providers at the Same Location NPPES 18

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

MR. PHILLIPE WAYNE COPELAND LICSW
Social Worker (Clinical)
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-9172
ANITA VIOLA NICHOLS-HABIB
Counselor (Mental Health)
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (781) 322-1503
CYNTHIA P MALETTE
Clinic/Center (Rehabilitation, Substance Use Disorder)
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-9169
PAMELA J DESILVA
Counselor (Addiction (Substance Use Disorder))
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-9109
KASSANDRA ROUND
Social Worker (Clinical)
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-9150
CHRISTOPHER R HUTCHISON-JONES LICSW
Social Worker (Clinical)
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-9112
TORLEAH A WASHINGTON
Counselor (Addiction (Substance Use Disorder))
201 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-7126
OLAJUMOKE ODO LCSW
Social Worker (Clinical)
201 RIVER ST
BOSTON, MA 02126
Suffolk County (617) 534-9112

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 Ellen Martin's NPI number?

The NPI number for Ellen Martin is 1912364555. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Ellen Martin located?

Ellen Martin practices at 201 River St, Mattapan, MA 02126. The listed phone number is (617) 534-6191.

What is Ellen Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellen Martin was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.