Individual provider Active NPI

Heather Ratcliffe Martin, LCSW

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1053786061
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005612 Issued in GA
Practice address
320 Maxwell Rd
Ste 300
Alpharetta, GA 30009-2070
Phone
(770) 284-9252
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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 CSW005612 GA Primary

Addresses

Primary practice location

320 Maxwell Rd
Ste 300
Alpharetta, GA 30009-2070

Mailing address

320 Maxwell Rd
Ste 300
Alpharetta, GA 30009-2070
Phone (770) 284-9252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160330000267 GA Practitioner - Clinical Social Worker 7911204375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SRM Counseling and Therapeutic Services, LLCGroup PAC ID 0840596268, 2 clinicians

Practice addresses (Care Compare)

320 Maxwell Rd
Suite 300
Alpharetta, GA 30009-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SRM Counseling & Therapeutic Services, LLC CurrentSince Feb 3, 2016 Accepting new patients

Locations

320 Maxwell Rd
Ste 300
Alpharetta, GA 30009
Phone (404) 942-8229

Organizations & group practices 2

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1053786061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MAXWELL RD",
            "address_2": "STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092070",
            "telephone_number": "770-284-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAXWELL RD",
            "address_2": "STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092070",
            "telephone_number": "770-284-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFFE MARTIN",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.