Individual provider Active NPI

Zachary Paul Martin, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1467988980
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000007797 Issued in TN
Practice address
10025 Investment Dr Ste 100
Knoxville, TN 37932-2665
Phone
(865) 606-6110
Fax
(865) 312-6442
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW76229 CA
Clinical Social Worker 1041C0700X LCSW100493 CA
Clinical Social Worker 1041C0700X LSW0000007797 TN Primary

Addresses

Primary practice location

10025 Investment Dr Ste 100
Knoxville, TN 37932-2665

Mailing address

10025 Investment Dr Ste 100
Knoxville, TN 37932-2665
Phone (865) 606-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220426001504 TN Practitioner - Clinical Social Worker 0446647242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

10025 Investment Dr
Suite 100
Knoxville, TN 37932-2665
Phone (865) 606-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW76229CAMDClinical Social Worker
LCSW100493CAMDClinical Social Worker
LSW0000007797TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Sep 8, 2022 Accepting new patients
Cherokee Health Systems CurrentSince Sep 8, 2022 Accepting new patients
Healthy Mind Counseling Services, Inc Clinical CurrentSince Jun 1, 2022 Accepting new patients

Locations

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (833) 547-2113

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

10434 Jackson Oaks Way
Knoxville, TN 37922
Phone (865) 281-1408

501 Adesa Blvd
Ste A150
Lenoir City, TN 37771
Phone (865) 986-8082

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1467988980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322665",
            "telephone_number": "865-606-6110",
            "fax_number": "865-312-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322665",
            "telephone_number": "865-606-6110",
            "fax_number": "865-312-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ZACHARY",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW76229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100493",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000007797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.