Evelyn Y Anderson-Martin, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-07269 Issued in NM

Practice address

3100 Oak St
Las Cruces, NM 88005-3425

Phone

(575) 993-5225

Fax

(575) 652-4163

NPI assigned

Sep 11, 2011

Sex

Female

Sole proprietor

Yes

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 NM

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

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 and National Provider Directory roles.

• Amistad Family Services Inc

  • Community/Behavioral Health Agency
  • Las Cruces, NM
  • NPI 1558654483
  Medicare reassignment NPD
• Anderson-Martin LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Cruces, NM
  • NPI 1598229627
  NPD Authorized official

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1114209665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053425",
            "telephone_number": "575-993-5225",
            "fax_number": "575-652-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053425",
            "telephone_number": "575-993-5225",
            "fax_number": "575-652-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-MARTIN",
        "first_name": "EVELYN",
        "middle_name": "Y",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-07269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31306560",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchored Minds Counseling Services
• Stephanie Andavazo
• John Andazola, M.D.
• Reyna Andazola
• Anderson-Martin LLC
• Amy Michel Anderson, M.A.
• Davonna Anderson
• Nicholas Anderson
• Ryan B Anderson, M.D.
• Stephen Christian Anderson, MSW, PHD

• Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.