Dianne Martaus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1433C Issued in AR

Practice address

405 East Main Street
Marshall, AR 72650

Phone

(870) 448-2176

NPI assigned

Aug 1, 2006

Last updated

Apr 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Behavioral Counseling, PLCGroup PAC ID 2668976895, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Matrix Behavioral Counseling PLC

  • Community/Behavioral Health Agency
  • Mountain View, AR
  • NPI 1619774411
  Medicare reassignment Care Compare group
• Ozark Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, AR
  • NPI 1043266315
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1063429595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 EAST MAIN STREET",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "72650",
            "telephone_number": "870-448-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "899 Burnett Dr",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726532909",
            "country_code": "US",
            "telephone_number": "870-232-4385",
            "fax_number": "870-701-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTAUS",
        "first_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1433C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "5Y525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jovann Leek, RN
• Lea Ann T Lowrance, RPH
• Marshall Family Eyecare
• Marshall Family Eyecare PLLC
• Marshall Medic Pharmacy, Inc.
• Larry Ray Martens, LAC
• Hazel Jean Massey
• Rebecca M Massey, OTA
• Andrea Lea McCallister, OTR/L
• Michael Baker Pharmacy, Inc. (Baker Pharmacy)

• Clinical Social Worker in Marshall, AR
• Providers in Marshall, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.