Jennifer Lee Martin, LCSW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18899 Issued in TX

Practice address

509 Lawrence St Ste 303
Corpus Christi, TX 78401-2573

Phone

(361) 658-5992

Fax

(361) 992-4655

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Harwill, Inc.

  • Community/Behavioral Health Agency
  • Corpus Christi, TX
  • NPI 1447311972

  Clinical

  NPD (past)
• Psychiatric Consulting Services

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1134164627
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1720131444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 HOLIDAY LN",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142724",
            "telephone_number": "361-658-5992",
            "fax_number": "361-992-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LAWRENCE ST STE 303",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012573",
            "telephone_number": "361-658-5992",
            "fax_number": "361-992-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "18899",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "238896",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory Sean Martin, LPC, LCDC
• Courtney Lynn Martin
• Dan Franklin Martin, M.D.
• Duane W. Martin, D.D.S.
• Jack Martin, PH.D.
• Jonathan Edward Martin, M.D.
• Kimberly B Martin, M.D.
• Lorenzo Martin, MD
• Lucretia Martin
• Marlo Gaye Martin, RN

• Clinical Social Worker in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.