Molly Martin, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700171-SUPV Issued in OH

Practice address

3000 Bridge Ave Ste 4
Cleveland, OH 44113-3086

Phone

(216) 282-3838

NPI assigned

Apr 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1447784251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BRIDGE AVE STE 4",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133086",
            "telephone_number": "216-282-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BRIDGE AVE STE 4",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133086",
            "telephone_number": "216-282-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MOLLY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700171-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Martin, CDCA.166404
• Marquetta Martin, CERTIFIED DOULA
• Maurice Martin
• Michelle Martin, ED.S.
• Michelle L Martin, RD
• Nicole Dushaun Martin, LPN
• Nicole Sonyette Martin, LPN
• Nicole T Martin, LPCC
• Patricia Martin
• Patrick Martin

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.