Active NPI
Amber L. Martin, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1124319363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13278
- Practice address
- 107 Brightwood PL
Apt D
San Antonio, TX 78209-3352 - Phone
- (239) 321-4930
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13278 | TX | Primary |
Addresses
Primary practice location
107 Brightwood PL
Apt D
San Antonio, TX 78209-3352
Mailing address
107 Brightwood PL
Apt D
San Antonio, TX 78209-3352
Phone (239) 321-4930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13278 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Resilience Center of Houston, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Cypress, TX
- NPI 1821475039
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1124319363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BRIGHTWOOD PL",
"address_2": "APT D",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782093352",
"telephone_number": "239-321-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 BRIGHTWOOD PL",
"address_2": "APT D",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782093352",
"telephone_number": "239-321-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "AMBER",
"middle_name": "L.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "13278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.