Active NPI
Jessica Leann Martin, LCSW
- Clinical Social Worker
- Pocahontas, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9579-C
- Practice address
- 1016 McQuay Ave
Pocahontas, AR 72455-2407 - Phone
- (870) 892-9949
- Fax
- (870) 892-0208
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9579-C | AR | Primary |
Addresses
Primary practice location
1016 McQuay Ave
Pocahontas, AR 72455-2407
Mailing address
PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334
Other names 1
- Jessica Leann Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006000728 | AR | Practitioner - Clinical Social Worker | 7416355441 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 1St Choice Healthcare Inc
Practice addresses (Care Compare)
2178 Hwy 62 412
Highland, AR 72542-9478
Phone (870) 994-2202
PO Box
Suite 83
Corning, AR 72422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9579-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Healthcare Inc | Current | Accepting new patients | |
| 1St Choice Healthcare Inc | Current | Accepting new patients | |
| 1St Choice Healthcare Inc | Current | Accepting new patients | |
| 1St Choice Healthcare Inc | Past | Accepting new patients |
Locations
1300 Creason Rd
Corning, AR 72422
Phone (870) 857-3399
2178 Highway 62 412
Highland, AR 72542
Phone (870) 994-2202
1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000
1016 McQuay Ave
Pocahontas, AR 72455
Phone (870) 892-9949
172 Highway 62 W
Salem, AR 72576
Phone (870) 895-2735
201 Colonial Dr
Walnut Ridge, AR 72476
Phone (870) 886-5507
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Salem, AR
- NPI 1912431818
-
- Federally Qualified Health Center (FQHC)
- Highland, AR
- NPI 1962824672
-
- Federally Qualified Health Center (FQHC)
- Walnut Ridge, AR
- NPI 1598711152
-
- Federally Qualified Health Center (FQHC)
- Pocahontas, AR
- NPI 1366498735
-
- Federally Qualified Health Center (FQHC)
- Paragould, AR
- NPI 1730568189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1033505136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83",
"city": "CORNING",
"state": "AR",
"postal_code": "724220083",
"telephone_number": "870-857-3334",
"fax_number": "870-857-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 MCQUAY AVE",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724552407",
"telephone_number": "870-892-9949",
"fax_number": "870-892-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JESSICA",
"middle_name": "LEANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "9579-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MARTIN",
"middle_name": "LEANN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pocahontas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.