Robert Martin, LCSW CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002765 Issued in VA

Practice address

4906 Radford Ave
Richmond, VA 23230-3512

Phone

(804) 354-1996

Fax

(804) 354-5516

NPI assigned

Dec 9, 2016

Last updated

Dec 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1518401504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 RADFORD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303512",
            "telephone_number": "804-354-1996",
            "fax_number": "804-354-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 RADFORD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303512",
            "telephone_number": "804-354-1996",
            "fax_number": "804-354-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERT",
        "credential": "LCSW CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000721",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13939610",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Goolrick Martin, AGACNP-BC
• Logan Martin, OTR/L
• Mary Jo Martin, MD
• Michael Martin
• Michael N Martin, FNP-BC
• Robert Martin Jr., CRNA
• Ronald Dwayne Martin
• Samantha Martin, FNP-C
• Sarah Ann Martin, MD
• Sherree Martin, OT

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.