Individual provider Active NPI

Barbara A Martin, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1013558220
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001549 Issued in NC
Practice address
2005 Boulevard St Ste E
Greensboro, NC 27407-4557
Phone
(910) 280-6513
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C001549 NC Primary

Addresses

Primary practice location

2005 Boulevard St Ste E
Greensboro, NC 27407-4557

Mailing address

2005 Boulevard St Ste E
Greensboro, NC 27407-4557
Phone (910) 280-6513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C001549NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Individual/Family Assessment and Treatment Services, PLLC CurrentSince Oct 6, 2019 Accepting new patients

Locations

2005 Boulevard St
Ste E
Greensboro, NC 27407
Phone (910) 280-6513

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1013558220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BOULEVARD ST STE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074557",
            "telephone_number": "910-280-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BOULEVARD ST STE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074557",
            "telephone_number": "910-280-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.