Individual provider Active NPI

Joseph E Martin, LCSW LCAS

  • Clinical Social Worker
  • Spruce Pine, NC
National Provider Identifier
1255362869
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001296 Issued in NC
Practice address
129 Skyview Cir
Spruce Pine, NC 28777-9518
Phone
(828) 765-0037
Fax
(828) 765-0039
NPI assigned
Jul 5, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C001296 NC Primary

Addresses

Primary practice location

129 Skyview Cir
Spruce Pine, NC 28777-9518

Mailing address

PO Box 397
129 Skyview Circle
Spruce Pine, NC 28777-9518
Phone (828) 765-0037

Other identifiers 4

IdentifierTypeStateIssuer
2862723AOtherNCMEDICARE NUMBER FOR BLUE RIDGE CENTER
2862723BOtherMEDICARE ENROLLMENT FOR NEW VISTAS BEHAVIORAL HEALTH SERVICES, INC.
2862723COtherMEDICARE ENROLLMENT FOR ALPHA OMEGA HEALTH, INC.
6003034MedicaidNC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients
Alpha Omega Health Inc Clinical Past Accepting new patients
Alpha Omega Health Inc Clinical Past Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients

Organizations & group practices 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1255362869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "address_2": "129 SKYVIEW CIRCLE",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287779518",
            "telephone_number": "828-765-0037",
            "fax_number": "828-765-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SKYVIEW CIR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287779518",
            "telephone_number": "828-765-0037",
            "fax_number": "828-765-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW  LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER FOR BLUE RIDGE CENTER",
            "identifier": "2862723A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ENROLLMENT FOR NEW VISTAS BEHAVIORAL HEALTH SERVICES, INC.",
            "identifier": "2862723B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ENROLLMENT FOR ALPHA OMEGA HEALTH, INC.",
            "identifier": "2862723C",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.