Individual provider Active NPI

Bobbie Charlene Martin, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1699804526
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91339 Issued in CA
Practice address
5500 Ming Ave Ste 210
Bakersfield, CA 93309-9120
Phone
(661) 247-7196
Fax
(661) 834-6095
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 91339 CA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

5500 Ming Ave Ste 210
Bakersfield, CA 93309-9120

Mailing address

5500 Ming Ave Ste 210
Bakersfield, CA 93309-9120
Phone (661) 247-7196

Other practice location 1

2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 868-8086 ext. 88086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221229001763 CA Practitioner - Clinical Social Worker 1355711763 Reassigns benefits to 1 organization
Practice locations: Bakerfield, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Clinical CurrentSince Sep 7, 2022 Accepting new patients
County of Kern Case Manager/Care Coordinator Current Accepting new patients
County of Kern Case Manager/Care Coordinator CurrentSince Sep 7, 2022 Accepting new patients
Marriageandfamilycounselinginc PastSince Jan 1, 2023 Accepting new patients
Raul Y. Mendoza, MD Inc PastSince Jan 1, 2023 Accepting new patients

Locations

2151 College Ave
Bakersfield, CA 93305
Phone (661) 868-8080

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

Organizations & group practices 5

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1699804526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099120",
            "telephone_number": "661-247-7196",
            "fax_number": "661-834-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 210",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099120",
            "telephone_number": "661-247-7196",
            "fax_number": "661-834-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 College Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933054113",
            "country_code": "US",
            "telephone_number": "661-868-8086 x88086",
            "fax_number": "661-868-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BOBBIE",
        "middle_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91339",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.