Active NPI
Etta Louise Martin, LCSW
- Clinical Social Worker
- Sherman Oaks, CA
National Provider Identifier
1487639852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21526
- Practice address
- 4911 Van Nuys Blvd
Suite 102
Sherman Oaks, CA 91403-1716 - Phone
- (818) 817-3248
- Fax
- (818) 905-2845
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21526 | CA | Primary |
Addresses
Primary practice location
4911 Van Nuys Blvd
Suite 102
Sherman Oaks, CA 91403-1716
Mailing address
4201 Ventura Canyon Ave
Sherman Oaks, CA 91423-4329
Phone (818) 789-8784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21526 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487639852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 VENTURA CANYON AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234329",
"telephone_number": "818-789-8784",
"fax_number": "818-905-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 VAN NUYS BLVD",
"address_2": "SUITE 102",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031716",
"telephone_number": "818-817-3248",
"fax_number": "818-905-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ETTA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
- Edward Morris Marshall, M.D.
- Martin Bennett M.D. a Professional Corporation
- Martin I Schuster MD a Professional Corporation
- Cindy Lynn Martin-McDonald
- Dulce Dormiendo Martin, RBT
- Halie Elizabeth Martin, LMFT # 160907
- Jillian Nicole Martin
- Michaela Jo Martin, PMHNP
- Sylvia Rochelle Martin, MFT
- Natalia Martinez Espana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.