Individual provider Active NPI

Beth Martin, LCSW

  • Clinical Social Worker
  • Sanford, NC
National Provider Identifier
1609173004
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1691 Issued in CO
Practice address
500 Westover Dr # 30640
Sanford, NC 27330-8941
Phone
(720) 675-8884
NPI assigned
Feb 21, 2011
Last updated
Jan 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007706 GA
Clinical Social Worker 1041C0700X C017442 NC
Clinical Social Worker 1041C0700X 1691 CO Primary

Addresses

Primary practice location

500 Westover Dr # 30640
Sanford, NC 27330-8941

Mailing address

500 Westover Dr # 30640
Sanford, NC 27330-8941
Phone (720) 675-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241015000778 NC Practitioner - Clinical Social Worker 1052843182 Reassigns benefits to 1 organization
I20241025000911 GA Practitioner - Clinical Social Worker 1052843182 Reassigns benefits to 1 organization
I20241129000435 CO Practitioner - Clinical Social Worker 1052843182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1691COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 13, 2024 Accepting new patients
Eating Disorder Center of Denver Past Accepting new patients
Edc of Denver, LLC Past Accepting new patients
Edc of Denver, LLC Past Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 4

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": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1609173004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTOVER DR # 30640",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308941",
            "telephone_number": "720-675-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTOVER DR # 30640",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308941",
            "telephone_number": "720-675-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017442",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.