Mary Martin, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARY MARTIN, LCSW, LLC

Practice address

5527 Old US Highway 93 Ste B
Florence, MT 59833-6570

Phone

(406) 240-6738

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Mary Martin, LCSWNPI 1720419997

Title

Owner

Phone

(406) 240-6738

Specialties & licenses 1

Addresses

Other names 2

• Mary Martin, LCSW dba ars Vivendi Former legal business name
• Mary Martin, LCSW Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

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

• Mary Martin, LCSW

  • Clinical Social Worker
  • Florence, MT
  • NPI 1720419997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1194301309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598331343",
            "telephone_number": "406-240-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 OLD US HIGHWAY 93 STE B",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336570",
            "telephone_number": "406-240-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MARTIN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-240-6738",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Martin, LCSW dba ars Vivendi",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mary Martin, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dusty Marie Lindeen, DPT, PT
• Matthew K Littleton
• Heather Marie Lodwig, MA, MFT, LCPC
• Taylor R Loyola, PHARMD
• Mary Martin, LCSW
• Taylor Edward McGreevey, DMD
• Sharon Renee McLean, MSW, CMT, LCPC
• Sarah McNair, LCSW
• Georgia A Milan, MD
• Rachella Moresi

• Clinical Social Worker in Florence, MT
• Providers in Florence, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.