Individual provider Active NPI

Baqi S. Martin, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1487924775
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63977 Issued in TX
Practice address
7820 Hanger Cutoff Rd
Fort Worth, TX 76135-9560
Phone
(817) 259-2597
Fax
(817) 977-9507
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 63977 TX Primary

Addresses

Primary practice location

7820 Hanger Cutoff Rd
Fort Worth, TX 76135-9560

Mailing address

7820 Hanger Cutoff Rd
Fort Worth, TX 76135-9560
Phone (817) 259-2597

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63977TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Falkstein, PH.D., L.L.C. Counselor Past Accepting new patients
Clearfork Behavioral Health, LLC PastSince Jul 2, 2023 Accepting new patients
Clearfork Cleburne LLC PastSince Nov 21, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1487924775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 HANGER CUTOFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359560",
            "telephone_number": "817-259-2597",
            "fax_number": "817-977-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 HANGER CUTOFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359560",
            "telephone_number": "817-259-2597",
            "fax_number": "817-977-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BAQI",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.