Individual provider Active NPI

Ashley Marie Martin, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1164196259
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25045 Issued in FL
Practice address
1385 Brookwood Forest Blvd Apt 901
Jacksonville, FL 32225-9051
Phone
(904) 349-7706
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 SW25045 FL Primary

Addresses

Primary practice location

1385 Brookwood Forest Blvd Apt 901
Jacksonville, FL 32225-9051

Mailing address

1385 Brookwood Forest Blvd Apt 901
Jacksonville, FL 32225-9051
Phone (904) 349-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250920000023 FL Practitioner - Clinical Social Worker 3971007030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maras Lighthouse Counseling Center LLCGroup PAC ID 1759724206, 4 clinicians
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

12086 Fort Caroline Rd
Suite 201
Jacksonville, FL 32225-2689
Phone (904) 990-8105

13934 Painted Bunting LN
Riverview, FL 33579-3525
Phone (305) 902-6347

1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mara'S Lighthouse Counseling Center, LLC Clinical CurrentSince Jul 24, 2025 Accepting new patients

Locations

12086 Fort Caroline Rd
Ste 201
Jacksonville, FL 32225
Phone (904) 990-5105

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1164196259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BROOKWOOD FOREST BLVD APT 901",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322259051",
            "telephone_number": "904-349-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 BROOKWOOD FOREST BLVD APT 901",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322259051",
            "telephone_number": "904-349-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.