Individual provider Active NPI

Kristen Meredith Martin, MSW, LCSW

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1467612788
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007206 Issued in NC
Practice address
2110 Woodridge Dr
Hendersonville, NC 28739-3158
Phone
(828) 697-1581
NPI assigned
Jun 10, 2008
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 C007206 NC Primary

Addresses

Primary practice location

2110 Woodridge Dr
Hendersonville, NC 28739-3158

Mailing address

218 W Allen St Ste B
Hendersonville, NC 28739-5004
Phone (828) 697-1581

Other practice location 1

218 W Allen St Ste B
Hendersonville, NC 28739-5004
Phone (828) 697-1581

Other names 1

  • Ms. Kristen Meredith Hegar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2024 through Jan 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Wellness Centers, PLLC Past Accepting new patients
Sixth Avenue Psychiatric Rehabilitation Partners, Inc. Past Accepting new patients
Sixth Avenue Psychiatric Rehabilitation Partners, Inc. PastSince Aug 14, 2022 Accepting new patients

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1467612788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W ALLEN ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287395004",
            "telephone_number": "828-697-1581",
            "fax_number": "828-697-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 WOODRIDGE DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393158",
            "telephone_number": "828-697-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 W Allen St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287395004",
            "country_code": "US",
            "telephone_number": "828-697-1581",
            "fax_number": "828-697-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KRISTEN",
        "middle_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HEGAR",
            "middle_name": "MEREDITH",
            "prefix": "MS.",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.