Individual provider Active NPI

Katherine Megan Martin, LCSW

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1407621113
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64631 Issued in TX
Practice address
1103 W Stan Schlueter Loop Ste 100
Killeen, TX 76549-6691
Phone
(254) 213-7847
Fax
(254) 312-2003
NPI assigned
Nov 22, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 64631 TX Primary

Addresses

Primary practice location

1103 W Stan Schlueter Loop Ste 100
Killeen, TX 76549-6691

Mailing address

1103 W Stan Schlueter Loop Ste 100
Killeen, TX 76549-6691
Phone (254) 213-7847

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64631TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Endeavors, Inc CurrentSince Nov 26, 2023 Accepting new patients
Family Endeavors, Inc Past Accepting new patients

Locations

1103 W Stan Schlueter Loop
Ste 100
Killeen, TX 76549
Phone (254) 213-7847

1103 W Stan Schlueter Loop
Ste A100
Killeen, TX 76549
Phone 2542137847 ext. 530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1407621113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W STAN SCHLUETER LOOP STE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496691",
            "telephone_number": "254-213-7847",
            "fax_number": "254-312-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W STAN SCHLUETER LOOP STE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496691",
            "telephone_number": "254-213-7847",
            "fax_number": "254-312-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "middle_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.