Individual provider Active NPI

Holly Martin, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1124495023
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7523-C Issued in AR
Practice address
10025 W. Markham Street
Ste 210
Little Rock, AR 72205-2178
Phone
(501) 663-5473
Fax
(501) 801-1816
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 7523-C AR Primary

Addresses

Primary practice location

10025 W. Markham Street
Ste 210
Little Rock, AR 72205-2178

Mailing address

10025 W. Markham Street
Ste 210
Little Rock, AR 72205-2178
Phone (501) 663-5473

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220616003113 AR Practitioner - Clinical Social Worker 4284013533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reding and Leach MD PLLCGroup PAC ID 7012258627, 62 clinicians

Practice addresses (Care Compare)

4810 W Commercial Dr
North Little Rock, AR 72116-7083
Phone (501) 255-9147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7523-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reding & Leach MD PLLC CurrentSince Aug 4, 2025 Accepting new patients
Living Hope Southeast, LLC CurrentSince Dec 5, 2022 Accepting new patients

Locations

3395 Highway 5 N
Ste 300
Bryant, AR 72019
Phone (501) 508-2600

11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762

10025 W Markham St
Ste 210
Little Rock, AR 72205
Phone 5016635473 ext. 443

4810 W Commercial Dr
North Little Rock, AR 72116
Phone (501) 255-9147

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/
  • Direct secure messaging: holly.martin.1@21565.direct.athenahealth.com

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1124495023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 W. MARKHAM STREET",
            "address_2": "STE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052178",
            "telephone_number": "501-663-5473",
            "fax_number": "501-801-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 W. MARKHAM STREET",
            "address_2": "STE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052178",
            "telephone_number": "501-663-5473",
            "fax_number": "501-801-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7523-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.