Rawnie James Martin, MSW-LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15178 Issued in MD

Practice address

304 E Pennsylvania Ave
Towson, MD 21286

Phone

(717) 818-8397

Fax

(410) 339-4609

NPI assigned

Aug 6, 2007

Last updated

Jul 17, 2018By the provider in NPPES

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 names 1

• Rawn Martin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1629269436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 CAROL LN",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173639456",
            "telephone_number": "717-993-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E PENNSYLVANIA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "717-818-8397",
            "fax_number": "410-339-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-3000",
            "fax_number": "410-938-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RAWNIE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MSW-LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAWN",
            "last_name": "MARTIN",
            "credential": "LCSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Martin
• Christina K. Martin, NP
• Donisha Martin
• Ketsia Keren Martin, PT, DPT
• Kevin Martin
• Rebecca Martin
• Taisha Martin, LCPC, NCC
• Tarah Lea Martin, LCSW-C
• Thomas Roger Martin Jr., MS ATC
• William Forrest Martin III, D.D.S.

• Clinical Social Worker in Towson, MD
• Providers in Towson, 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 Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.