Kelly Martin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8978900-3501 Issued in UT

Practice address

449 E 2100 S
Salt Lake City, UT 84115-2237

Phone

(801) 596-2111

Fax

(801) 359-3878

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1487112264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 HERITAGE PARK BLVD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415711",
            "telephone_number": "801-525-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152237",
            "telephone_number": "801-596-2111",
            "fax_number": "801-359-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 Heritage Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415711",
            "country_code": "US",
            "telephone_number": "801-525-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8978900-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dru Martin
• Emily Maryn Martin
• Gabriel Martin
• James S Martin
• Joannie Amores Martin
• Laura M Martin, L.C.S.W.
• Mary Hunt Martin, MD
• Megan Marie Martin, MS, LCGC
• Morgan Martin
• Samantha Martin

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.