William Bruce Martin, LISW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005998A Issued in IN

Practice address

8880 Cypress Gate Drive
Dayton, OH 45424-6413

Phone

(937) 903-6116

NPI assigned

Mar 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• House of New Hope

  • Home Health Agency
  • St Louisville, OH
  • NPI 1619245016
  NPD (past)
• Kentucky River Community Care, Inc

  • Mental Health Counselor
  • Hazard, KY
  • NPI 1528017142

  Clinical

  NPD (past)

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1598907370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 CYPRESS GATE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454246413",
            "telephone_number": "937-903-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 CYPRESS GATE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454246413",
            "telephone_number": "937-903-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "LISW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-0010290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0010290SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005998A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taniya Maria Martin, STNA
• Thomas O. Martin, PH.D.
• Tia Reshell Martin
• Truman L Martin, D.D.S.
• Tunya Martin
• William R Martin, OD
• Christina Martindale
• David William Martineau, MD
• Ann Marie Martinek, MD
• Edward F Martinek, M.D.

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, 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 Nov 19, 2014; 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.