Marten Hatch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-37638 Issued in ID

Practice address

452 D St
Idaho Falls, ID 83402-3531

Phone

(208) 552-0355

NPI assigned

Dec 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marten Arvil Hatch Other name

Medicare fee-for-service enrollment

Enrolled in ID

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Family Services LLCGroup PAC ID 8022230689, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vista Family Services LLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1235353251
  Medicare reassignment Care Compare group NPD
• Summus Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Idaho Falls, ID
  • NPI 1225507668
  NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1346615465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 E 480 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425207",
            "telephone_number": "208-346-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 D ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023531",
            "telephone_number": "208-552-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Park Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834021203",
            "country_code": "US",
            "telephone_number": "208-346-3377",
            "fax_number": "208-552-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "MARTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-35278",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-37638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTEN",
            "last_name": "HATCH",
            "middle_name": "ARVIL",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• McKenzie Hart
• Michael Terry Hartley, LCSW
• Camie Parker Harvey
• Ahna Rachael Hatch
• Bradford Nelson Hatch, MD
• Isaac Nathaniel Hatfield, RBT
• Madison Hathaway, LMSW
• Scott Havard, DNP, CRNA
• Kyle Hawkes, MSN, RN
• Roma Dee Hawkins, LCSW 28701

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.