Carissa Rose Martin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801119943 Issued in MI

Practice address

407 W Greenlawn Ave
Lansing, MI 48910-2819

Phone

(517) 882-4000

Fax

(517) 882-3506

NPI assigned

Sep 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mid-Michigan Recovery Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lansing, MI
  • NPI 1255386124
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1689396335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 TRESTLEWOOD DR APT 1A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178793",
            "telephone_number": "810-625-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "517-882-4000",
            "fax_number": "517-882-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CARISSA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Jade Marriott
• Bradley Marshall, MSW
• Candice G. Marshall, LPC
• Angela Marie Martin, FNP-BC
• Blanche W Martin, DDS
• Denny R Martin, DO
• John Martin
• Liam Taylor Martin, PA-C
• Sarah Elizabeth Martin, NP
• Steven Wayne Martin, M.D.

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.