Martin Srajek PHD LCSW LTD

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARTIN SRAJEK PHD LCSW LTD

Practice address

206 N Randolph St Ste 534-36
Champaign, IL 61820-3949

Phone

(217) 637-2138

Fax

(217) 355-4911

NPI assigned

Feb 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Martin Srajek, PHD, LCSWNPI 1730392481

Title

Director

Phone

(217) 637-2138

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Srajek, PHD LCSW

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1730392481
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1154955037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 534-36",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-637-2138",
            "fax_number": "217-355-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 534-36",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-637-2138",
            "fax_number": "217-355-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SRAJEK PHD LCSW LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "SRAJEK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-637-2138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "S622-5686-1037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730392481",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Alice Markwood, DMD
• Shahram Maroof, M.D.
• Kathy Marren, GNP
• Richard Gerald Marrs, R.PH.
• Mariah Marshall, RSA
• Ashley Martin, BA MHP
• Gregory Paul Martin, D.D.S.
• Kathryn E Martin, LCPC
• Katie Marie Martin, M.A. CFY-SLP
• Madeline Martin, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.