Ann L Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3365 Issued in OR

Practice address

124 SW 8TH St
Redmond, OR 97756-2114

Phone

(541) 504-8970

Fax

(541) 504-5805

NPI assigned

Dec 6, 2006

Last updated

Jul 27, 2021By 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 2

Medicare fee-for-service enrollment

Enrolled in OR

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ann Martin Counseling Inc.

  • Clinical Social Worker
  • Redmond, OR
  • NPI 1033453626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1083773337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW 8TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562114",
            "telephone_number": "541-504-8970",
            "fax_number": "541-504-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SW 8TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562114",
            "telephone_number": "541-504-8970",
            "fax_number": "541-504-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977562114",
            "country_code": "US",
            "telephone_number": "541-504-8970",
            "fax_number": "541-504-5805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083773337",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500777269",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamatha Sue Makowsky
• Michael Patrick Mallin, M.D.
• Tara Maloney, LCSW
• Laura Mann, PT, DPT, OCS
• Mark S Keener DMD P.C.
• Levi Jeh Martin, PHARM.D.
• Penney Mathes, MS., CCC-SLP
• Lisa Darlene Mathis, BS, QMHP, MSW STUDEN
• Stephanie Mathis
• Melissa Matson

• Clinical Social Worker in Redmond, OR
• Providers in Redmond, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.