Individual provider Active NPI

Barbara Martin, MSSW-LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1457999377
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256759 Issued in KY
Practice address
2225 W Broadway
Louisville, KY 40211-1087
Phone
(502) 589-8910
NPI assigned
Dec 11, 2019
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 256759 KY Primary

Addresses

Primary practice location

2225 W Broadway
Louisville, KY 40211-1087

Mailing address

111 E Kentucky St
Louisville, KY 40203-2793
Phone (502) 584-3573

Other practice location 1

117 E Kentucky St
Louisville, KY 40203-2793
Phone (502) 584-3573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20200130001096 KY Practitioner - Clinical Social Worker 6901232537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

608 Indian Ridge Rd
Louisville, KY 40207-1749
Phone (502) 536-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256759KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Counties Services, Inc. Clinical CurrentSince Jan 2, 2024 Accepting new patients
Edith & Henry Heuser Hearing Institute CurrentSince Jan 1, 2020 Accepting new patients
Lilyheart Integrative Counseling & Wellness, PLLC Clinical CurrentSince Oct 11, 2023 Accepting new patients

Locations

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

111 E Kentucky St
Louisville, KY 40203
Phone (502) 371-9910

117 E Kentucky St
Louisville, KY 40203
Phone (502) 584-3573

2225 W Broadway
Louisville, KY 40211
Phone (502) 589-8910

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Organizations & group practices 3

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1457999377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E KENTUCKY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032793",
            "telephone_number": "502-584-3573",
            "fax_number": "502-515-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111087",
            "telephone_number": "502-589-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Kentucky St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032793",
            "country_code": "US",
            "telephone_number": "502-584-3573",
            "fax_number": "502-515-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BARBARA",
        "credential": "MSSW-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.