Active NPI
Rhonda Lynn Martin, LICSW
- Clinical Social Worker
- South Saint Paul, MN
National Provider Identifier
1487943064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18276
- Practice address
- 318 2ND St N
South Saint Paul, MN 55075-2014 - Phone
- (651) 455-6800
- NPI assigned
- Apr 4, 2011
- Last updated
- Apr 4, 2011
- 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 | 18276 | MN | Primary |
Addresses
Primary practice location
318 2ND St N
South Saint Paul, MN 55075-2014
Mailing address
318 2ND St N
South Saint Paul, MN 55075-2014
Phone (651) 455-6800
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 |
|---|---|---|---|
| 18276 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1487943064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 2ND ST N",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550752014",
"telephone_number": "651-455-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 2ND ST N",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550752014",
"telephone_number": "651-455-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RHONDA",
"middle_name": "LYNN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Saint Paul, MN
- Hodan Home Health Care LLC
- Abby Klein, RN
- Kallie Carol Kuehn
- Charisma Lamanda Kyles, LADC
- Lupine Counseling LLC
- Modern Dental Professionals, Minnesota PC (Midwest Dental - South St. Paul)
- Neurobright Services LLC
- Nextgen Transportation LLC
- Our New Home Elder Day Center LLC
- Owakihi Inc (The Common link)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.