Individual provider Active NPI

Jessica Leann Martin, LCSW

  • Clinical Social Worker
  • Pocahontas, AR
National Provider Identifier
1033505136
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9579-C Issued in AR
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

Updated by the provider on Feb 4, 2025

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 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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 0648184218, 36 clinicians

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

LicenseStateTypeSpecialty
9579-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Healthcare Inc Current Accepting new patients
1St Choice Healthcare Inc CurrentSince Oct 1, 2021 Accepting new patients
1St Choice Healthcare Inc CurrentSince Oct 1, 2021 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.

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

Verify at the official NPI Registry.