Individual provider Active NPI

Amber Leigh Martin, LCSW

  • Clinical Social Worker
  • Conroe, TX
National Provider Identifier
1558963330
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104036 Issued in TX
Practice address
14056 Crystal Cave LN
Conroe, TX 77384-2202
Phone
(712) 574-2131
NPI assigned
Nov 16, 2020
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079581 IA
Clinical Social Worker 1041C0700X 104036 TX Primary

Addresses

Primary practice location

14056 Crystal Cave LN
Conroe, TX 77384-2202

Mailing address

14056 Crystal Cave LN
Conroe, TX 77384-2202
Phone (712) 574-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317001659 TX Practitioner - Clinical Social Worker 8820404890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

14056 Crystal Cave LN
Conroe, TX 77384-2202
Phone (832) 510-7935

14930 Mueschke Rd
Suite 100
Cypress, TX 77433-0980
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079581IAMDClinical Social Worker
104036TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Mental Health PLLC Clinical CurrentSince May 8, 2024 Accepting new patients
The Resilience Center of Houston, LLC Clinical CurrentSince Mar 5, 2021 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1558963330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14056 CRYSTAL CAVE LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842202",
            "telephone_number": "712-574-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14056 CRYSTAL CAVE LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842202",
            "telephone_number": "712-574-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMBER",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "079581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.