Nicole Leah Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

25 Choctaw Trce
Cherokee Village, AR 72529-2702

Phone

(870) 972-4939

Fax

(870) 972-4911

NPI assigned

Jul 17, 2018

Last updated

Mar 5, 2026By the provider in NPPES

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 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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Springdale, AR
  • NPI 1437750411

  Social Worker

  Medicare reassignment Care Compare group NPD
• Professional Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1437164977
  Medicare reassignment NPD
• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1306532767
  NPD
• Arisa Health, Inc.

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1760187413
  NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1164908778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHOCTAW TRCE",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Highway 62 412",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "AR",
            "postal_code": "725429477",
            "country_code": "US",
            "telephone_number": "870-856-1291",
            "fax_number": "870-856-1294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4354 Stockton Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172917",
            "country_code": "US",
            "telephone_number": "501-955-7600",
            "fax_number": "501-955-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICOLE",
        "middle_name": "LEAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336294719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Kissee
• Ben Levenbach, MHPP
• Travis Eugene Lillard, PTA
• Meghan Long
• Sharon Mamath, MHPP
• Lisa Mason
• Kristin Matthews, MHPP
• Brianna Mayberry, MHPP
• Beau McBride, MHPP
• Vicki McDaniel, RN BC

• Clinical Social Worker in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.