Individual provider Active NPI

Lucia Elizabeth Martin, L.C.S.W.

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1285807982
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001855 Issued in GA
Practice address
300 W Wieuca Rd NE
113
Atlanta, GA 30342-3352
Phone
(404) 843-9696
Fax
(770) 974-3793
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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 CSW001855 GA Primary

Addresses

Primary practice location

300 W Wieuca Rd NE
113
Atlanta, GA 30342-3352

Mailing address

300 W Wieuca Rd NE
113
Atlanta, GA 30342-3352
Phone (404) 843-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181001001748 GA Practitioner - Clinical Social Worker 1153672175 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 W Wieuca Rd
Suite 113
Atlanta, GA 30342-3382
Phone (404) 769-6535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW001855GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1285807982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE",
            "address_2": "113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-843-9696",
            "fax_number": "770-974-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE",
            "address_2": "113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-843-9696",
            "fax_number": "770-974-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LUCIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.