Individual provider Active NPI

Fiana L Martin, LSCSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1699924498
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4267 Issued in KS
Practice address
1119 SW Gage Blvd Ste B
Topeka, KS 66604-1774
Phone
(785) 845-0676
Fax
(785) 408-5612
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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 5930 KS
Clinical Social Worker 1041C0700X 4267 KS Primary

Addresses

Primary practice location

1119 SW Gage Blvd Ste B
Topeka, KS 66604-1774

Mailing address

1119 SW Gage Blvd Ste B
Topeka, KS 66604-1774
Phone (785) 845-0676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20140415001504 KS Practitioner - Clinical Social Worker 4981836434 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1119 SW Gage Blvd B
Topeka, KS 66604-1774
Phone (785) 845-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5930KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anaif Counseling and Assessment Services Clinical Current Accepting new patients

Organizations & group practices 1

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1699924498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 SW GAGE BLVD STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041774",
            "telephone_number": "785-845-0676",
            "fax_number": "785-408-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 SW GAGE BLVD STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041774",
            "telephone_number": "785-845-0676",
            "fax_number": "785-408-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "FIANA",
        "middle_name": "L",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.