Keith Stanley Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 15670 Issued in CA

Practice address

9300 Valley Childrens PL
Madera, CA 93638-8761

Phone

(558) 353-3000

Fax

(559) 353-5838

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6226/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003027046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 W. BERKELEY AVENUE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93722",
            "telephone_number": "559-276-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "558-353-3000",
            "fax_number": "559-353-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEITH",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 15670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Marquez, MD
• Priscilla Marquez
• Pamela Rebecca Marsh, PNP-BC
• Jennifer Lenches Marshall, ACSW
• Dolores Martin
• Mishae Ebony Martin, MSW
• Paul Howard Martines Jr., MPT
• Desiree Christine Martinez del Castillo, LMFT
• Abigail Martinez-Figueroa
• Lilia Martinez-Santiago

• Clinical Social Worker in Madera, CA
• Providers in Madera, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.