Richard A Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.009270 Issued in IL

Practice address

2980 Baker Dr
Springfield, IL 62703-5901

Phone

(217) 492-4955

NPI assigned

May 1, 2018

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1609365063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HAPPY LANDING DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119463",
            "telephone_number": "618-973-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 BAKER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035901",
            "telephone_number": "217-492-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 SW 34th Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344747426",
            "country_code": "US",
            "telephone_number": "352-237-1947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "149.009270",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jongjin Anne Martin, M.D.
• Katharine Martin, LCPC
• Kimberly Anne Oglesby Martin, APRN-BC
• Paige Nicole Martin
• Peter Martin, MD
• Christopher Martinek, M.D.
• Lorena Carolina Martinez King, MD
• Adrian Martinez
• Ebony Martinez
• Erik Martinez, PA-C

• Clinical Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.