(Delores) 'Lynne' Martins, MSW, LICSW, CT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004744 Issued in WA

Practice address

1919 70TH Ave W
Suite D
University Place, WA 98466-5541

Phone

(253) 572-6880

Fax

(253) 572-9505

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1285795864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65253",
            "address_2": "1919 70TH AVENUE WEST, SUITE D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984641253",
            "telephone_number": "253-572-6880",
            "fax_number": "253-572-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 70TH AVE W",
            "address_2": "SUITE D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665541",
            "telephone_number": "253-572-6880",
            "fax_number": "253-572-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "(DELORES)",
        "middle_name": "'LYNNE'",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW, CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "156086",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "156089",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF WA",
            "identifier": "1938MA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ernest Martin, DDS
• Rhonda Paige Martin, MPT
• Sarah Rose Martin
• Cynthia Martinez
• Yolanda Martinez
• Mary Jo Patino-Cofreros
• Massage by the Bay LLC
• Judith Masunzu, LPN
• Noemi Mata
• Kristie Michelle Mattern, PAC

• Clinical Social Worker in University Place, WA
• Providers in University Place, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.