Katherine Martin, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1502405 Issued in OH

Practice address

199 S Central Ave
Columbus, OH 43223-1301

Phone

(614) 274-9500

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1538613898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 BAYTREE CT",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231301",
            "telephone_number": "614-274-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200124",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2863950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Hallie Martin, FNP-BC
• Jordan Martin
• Joshua Alexander Martin
• Julia M Martin, LPCC
• Karissa Marie Rose Martin
• Kathryn M Martin, WHNP
• Kayce Martin
• Kenya Martin
• Kevin Charles Martin, PT
• Kimberley Martin, STNA

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.