Individual provider Active NPI

Caroline Martin

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1285269415
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2406109 Issued in OH
Practice address
750 E Long St Ste 3000
Columbus, OH 43203-1874
Phone
(614) 340-6700
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2207689 OH
Massage Therapist 225700000X 33.023395 OH
Clinical Social Worker 1041C0700X I.2406109 OH Primary

Addresses

Primary practice location

750 E Long St Ste 3000
Columbus, OH 43203-1874

Mailing address

750 E Long St
Columbus, OH 43203-1846
Phone (614) 340-6700

Other identifiers 1

IdentifierTypeStateIssuer
0393974MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250115000699 OH Practitioner - Clinical Social Worker 3577091883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirty South Therapeutics LLCGroup PAC ID 4688020126, 3 clinicians

Practice addresses (Care Compare)

67 E Water St
Chillicothe, OH 45601-2535
Phone (740) 993-9571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2207689OHMDSocial Worker
I.2406109OHMDClinical Social Worker
33.023395OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Dec 5, 2024 Accepting new patients
Blue Lion Therapy LLC Current Accepting new patients
Dirty South Therapeutics LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Equitas Health, Inc CurrentSince Dec 5, 2024 Accepting new patients
National Youth Advocate Program, Inc PastSince Mar 1, 2020 Accepting new patients

Locations

67 E Water St
Chillicothe, OH 45601
Phone (740) 775-9995

L3842
Columbus, OH 43260

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

750 E Long St
Ste 3000
Columbus, OH 43203
Phone (614) 340-6693

Organizations & group practices 6

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1285269415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031846",
            "telephone_number": "614-340-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LONG ST STE 3000",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031874",
            "telephone_number": "614-340-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2207689",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023395",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2406109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.