Kathryn Martin, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006291 Issued in IN

Practice address

815 John St Ste 110
Evansville, IN 47713-2746

Phone

(812) 221-2710

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

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.

• Bright Outlook Counseling

  • Clinical Social Worker
  • Newburgh, IN
  • NPI 1891213286
  NPD (past)
• Southwestern Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evansville, IN
  • NPI 1033108766
  NPD (past)
• Southwestern Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evansville, IN
  • NPI 1255168126
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1659527745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JOHN ST STE 110",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-221-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JOHN ST STE 110",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-221-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHRYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12271465",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000724799",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Lee Martin, DDS
• Isaac Benjamin Martin, M.A., LMHC
• Jadah Martin
• Jessica Renee Martin
• Kara Gable Martin
• Katie L Martin, LCSW
• Leven Martin
• Linda Martin
• Lydia Martin
• Mark A Martin, DO

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.