Individual provider Active NPI

Heather M Martin, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1215969555
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016362 Issued in PA
Practice address
6507 Wilkins Ave Ste 103
Pittsburgh, PA 15217-1305
Phone
(412) 335-1427
Fax
(412) 223-4353
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072706 NY
Clinical Social Worker 1041C0700X 076423 NY
Clinical Social Worker 1041C0700X CW016362 PA Primary

Addresses

Primary practice location

6507 Wilkins Ave Ste 103
Pittsburgh, PA 15217-1305

Mailing address

6507 Wilkins Ave Ste 103
Pittsburgh, PA 15217-1305
Phone (412) 335-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170823000580 PA Practitioner - Clinical Social Worker 3375607294 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Therapy Center LLCGroup PAC ID 7113469081, 2 clinicians

Practice addresses (Care Compare)

6507 Wilkins Ave
Suite 103
Pittsburgh, PA 15217-1305
Phone (412) 212-8805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016362PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Therapy Center LLC Clinical CurrentSince Apr 15, 2024 Accepting new patients
National Neighborhood Counseling Center Inc PastSince Feb 4, 1991 Accepting new patients

Locations

6507 Wilkins Ave
Ste 103
Pittsburgh, PA 15217
Phone (412) 212-8805

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1215969555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 WILKINS AVE STE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171305",
            "telephone_number": "412-335-1427",
            "fax_number": "412-223-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 WILKINS AVE STE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171305",
            "telephone_number": "412-335-1427",
            "fax_number": "412-223-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.