Active NPI
Martha J Miller, LISW
- Clinical Social Worker
- Fort Dodge, IA
National Provider Identifier
1346207677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02039
- Practice address
- 804 Kenyon Rd
Ste a
Fort Dodge, IA 50501 - Phone
- (515) 574-6120
- Fax
- (515) 574-6135
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02039 | IA | Primary |
Addresses
Primary practice location
804 Kenyon Rd
Ste a
Fort Dodge, IA 50501
Mailing address
804 Kenyon Rd
Ste a
Fort Dodge, IA 50501
Phone (515) 574-6120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10198 | Other | BCBS | |
| 7298 | Other | MIDLANDS CHOICE | |
| 0218438 | Medicaid | IA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02039 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patty Hull, Lisw, PLLC | Current | Accepting new patients | |
| Psychiatry Lee and Associates PC | Clinical | Past | Accepting new patients |
Locations
1218 Central Ave
Fort Dodge, IA 50501
Phone (515) 571-4422
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fort Dodge, IA
- NPI 1497106785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346207677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 KENYON RD",
"address_2": "STE A",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "50501",
"telephone_number": "515-574-6120",
"fax_number": "515-574-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 KENYON RD",
"address_2": "STE A",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "50501",
"telephone_number": "515-574-6120",
"fax_number": "515-574-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARTHA",
"middle_name": "J",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "02039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "7298",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0218438",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.