Individual provider Active NPI

Lindsey E Martin, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1629575238
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020064 Issued in IL
Practice address
3245 N Halsted St
Chicago, IL 60657-3419
Phone
(773) 388-1600
Fax
(773) 388-1602
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.020064 IL Primary

Addresses

Primary practice location

3245 N Halsted St
Chicago, IL 60657-3419

Mailing address

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (773) 388-1600

Other practice location 1

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (773) 388-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20180426000486 IL Practitioner - Clinical Social Worker 2365706405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

710 S Paulina St
Chicago, IL 60612-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.020064ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Rush University Medical Center Current Accepting new patients
Howard Brown Health Center CurrentSince Mar 11, 2018 Accepting new patients
Rush University Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Howard Brown Health Center CurrentSince Mar 11, 2018 Accepting new patients
Rush University Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134

710 S Paulina St
Ste 438
Chicago, IL 60612
Phone (312) 563-2702

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

3245 N Halsted St
Chicago, IL 60657
Phone (773) 296-8400

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1629575238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132010",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573419",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132010",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LINDSEY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.