Tiffany Ann Martin, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23815 Issued in MD

Practice address

2900 Pinewood Ave
Baltimore, MD 21214-1229

Phone

(443) 570-3658

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Divine Counseling LLC

  • Clinical Social Worker
  • Owings Mills, MD
  • NPI 1184291155
  Medicare reassignment NPD
• Divine Counseling LLC

  • Community/Behavioral Health Agency
  • Owings Mills, MD
  • NPI 1407537186
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1578154266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PINEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141229",
            "telephone_number": "443-570-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PINEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141229",
            "telephone_number": "443-570-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellita Martin
• Sheryl Baker Martin, OMD L.AC. RN
• Stephen James Martin, MD
• Suzanne R Martin, LCPC
• Tanika V. Martin, PA-C
• Triscia Martin, PA
• Wendi Martin, LGSW
• Martina P Callum M.D., LLC
• Ashley Nicole Martinelli, PHARMD
• Mary Martinelli, PHD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.