Active NPI
Dolores M Martin, MSSW, LCSW
- Clinical Social Worker
- Elizabethtown, KY
National Provider Identifier
1437214962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1070
- Practice address
- 1106 Tunnel Hill Rd Ste 100
Elizabethtown, KY 42701-8026 - Phone
- (270) 765-2335
- NPI assigned
- Dec 26, 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 | 1070 | KY | Primary |
Addresses
Primary practice location
1106 Tunnel Hill Rd Ste 100
Elizabethtown, KY 42701-8026
Mailing address
102 Noltemeyer Way Apt 2F
Elizabethtown, KY 42701-5959
Phone (502) 592-4039
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 |
|---|---|---|---|
| 1070 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Counseling Services, LLC | Clinical | Current | Accepting new patients |
Locations
1106 Tunnel Hill Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 675-2335
Organizations & group practices 1
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": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1437214962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 NOLTEMEYER WAY APT 2F",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015959",
"telephone_number": "502-592-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 TUNNEL HILL RD STE 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018026",
"telephone_number": "270-765-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DOLORES",
"middle_name": "M",
"credential": "MSSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.