Individual provider Active NPI

Anne L Martin, LICSW

  • Social Worker
  • Ludlow, MA
National Provider Identifier
1194712067
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1018012 Issued in MA
Practice address
77 Winsor St
Ste 101
Ludlow, MA 01056-3469
Phone
(413) 583-6750
Fax
(413) 589-7001
NPI assigned
Oct 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1018012 MA Primary

Addresses

Primary practice location

77 Winsor St
Ste 101
Ludlow, MA 01056-3469

Mailing address

77 Winsor St
Ste 101
Ludlow, MA 01056-3469
Phone (413) 583-6750

Other identifiers 1

IdentifierTypeStateIssuer
1892070MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090129000014 MA Practitioner - Clinical Social Worker 1254495781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Susan Dr
Westfield, MA 01085-1443
Phone (508) 593-1774

771 Boston Post Rd E
Suite 11
Marlborough, MA 01752-3759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018012MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Care Assoc PC CurrentSince Oct 2, 2025 Accepting new patients
Psych Wellness Group, Inc. CurrentSince Jun 17, 2022 Accepting new patients

Locations

185 West Ave
Ste 104
Ludlow, MA 01056
Phone (413) 583-6750

77 Winsor St
Ste 101
Ludlow, MA 01056
Phone (413) 583-6750

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19623/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26450/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2941/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194712067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WINSOR ST",
            "address_2": "STE 101",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563469",
            "telephone_number": "413-583-6750",
            "fax_number": "413-589-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WINSOR ST",
            "address_2": "STE 101",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563469",
            "telephone_number": "413-583-6750",
            "fax_number": "413-589-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANNE",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1018012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1892070",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.