Gloria Howard Martin, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C1259 Issued in MS

Practice address

2508 Lakeland Dr
Suite 200
Flowood, MS 39232-9502

Phone

(601) 664-0455

Fax

(601) 664-1675

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Providence Counseling Service, LLC

  • Professional Counselor
  • Flowood, MS
  • NPI 1912194903
  NPD (past)
• The Shepherd'S Staff

  • Counselor
  • Flowood, MS
  • NPI 1679768287
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487862074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EASTOVER DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116720",
            "telephone_number": "601-366-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 LAKELAND DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329502",
            "telephone_number": "601-664-0455",
            "fax_number": "601-664-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GLORIA",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C1259",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dametra Mangum, FNP
• Manisha Pradhan, DMD, P.C.
• Dev Anand Manisundaram, M.D.
• Melissa Marie Manuel, NP
• Mardot Professional Services
• Jill Martin, PHARM.D.
• Margaret Lane Martin, LPC
• Anuj Marya, MD
• Mason & Cage Corp
• Aaron Mathis, PT

• Clinical Social Worker in Flowood, MS
• Providers in Flowood, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.