Active NPI
Angela Marie Adams Martin, MS, LCSW
- Clinical Social Worker
- Green Cove Springs, FL
National Provider Identifier
1215965140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14381
- Practice address
- 2328 Dallas Creek LN
Green Cove Springs, FL 32043-8274 - Phone
- (217) 898-8160
- NPI assigned
- Jun 29, 2006
- Last updated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | 14381 | FL | Primary |
| Clinical Social Worker | 1041C0700X | 149009865 | IL |
Addresses
Primary practice location
2328 Dallas Creek LN
Green Cove Springs, FL 32043-8274
Mailing address
2328 Dallas Creek LN
Green Cove Springs, FL 32043-8274
Phone (217) 898-8160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14381 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- angelaadamsmartin@tdh.allscriptsdirect.net
Organizations & group practices 1
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": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1215965140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 DALLAS CREEK LN",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320438274",
"telephone_number": "217-898-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2328 DALLAS CREEK LN",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320438274",
"telephone_number": "217-898-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS MARTIN",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "MS, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "14381",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149009865",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Cove Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.