Individual provider Active NPI

Victoria A Martin, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1225388580
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008231 Issued in VA
Practice address
Jble Langley AFB 1/Muns
594 Worley Rd, BLDG 1082, RM 115
Hampton, VA 23665
Phone
(757) 225-8501
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12804 MD
Clinical Social Worker 1041C0700X 0904008231 VA Primary

Addresses

Primary practice location

Jble Langley AFB 1/Muns
594 Worley Rd, BLDG 1082, RM 115
Hampton, VA 23665

Mailing address

Jble Langley AFB 1/Muns
594 Worley Rd, BLDG 1082, RM 115
Hampton, VA 23665
Phone (757) 225-8501

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

State licenses

LicenseStateTypeSpecialty
12804MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1225388580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JBLE LANGLEY AFB 1/MUNS",
            "address_2": "594 WORLEY RD, BLDG 1082, RM 115",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JBLE LANGLEY AFB 1/MUNS",
            "address_2": "594 WORLEY RD, BLDG 1082, RM 115",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12804",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.