Ulrike Jennifer Erika Martin, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102600 Issued in OH

Practice address

44 Kintner Pkwy Ste E
Sunbury, OH 43074-9368

Phone

(740) 330-4310

Fax

(740) 330-4330

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ulrike Jennifer Martin Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creekside Counseling and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sunbury, OH
  • NPI 1639856651
  Medicare reassignment NPD Authorized official
• Dbowersmft, LTD.

  • Mental Health Counselor
  • Columbus, OH
  • NPI 1609490721
  NPD

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1003495060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 N COUNTY ROAD 605",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748981",
            "telephone_number": "614-256-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 KINTNER PKWY STE E",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749368",
            "telephone_number": "740-330-4310",
            "fax_number": "740-330-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 S Columbus St",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "OH",
            "postal_code": "430749480",
            "country_code": "US",
            "telephone_number": "740-330-4310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ULRIKE",
        "middle_name": "JENNIFER ERIKA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ULRIKE",
            "last_name": "MARTIN",
            "middle_name": "JENNIFER",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sophie Rae Longley
• Loving Kindness Home Care, LLC
• Wynde S. Madden
• Pamela Joan Mahaffey, DNP, ACNS-BC, RN
• Mahantraj Vision LLC
• Eydie Villanueva Mathews, PA
• Kimberly McClincy
• Michael Fred McKinley
• Hannah McKown
• Tanya May McLymont-Mitchell, LPCC

• Clinical Social Worker in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.