Active NPI
Christopher S Martin, LMSW
- Clinical Social Worker
- Montain Home, TN
National Provider Identifier
1720305014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7559
- Practice address
- James H Quillen Vamc
Building 8, Dogwood Ave
Montain Home, TN 37684 - Phone
- (423) 926-1171
- NPI assigned
- Apr 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7559 | TN | Primary |
Addresses
Primary practice location
James H Quillen Vamc
Building 8, Dogwood Ave
Montain Home, TN 37684
Mailing address
James H Quillen Vamc
Building 8, Dogwood Ave
Montain Home, TN 37684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7559 | TN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1720305014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JAMES H QUILLEN VAMC",
"address_2": "BUILDING 8, DOGWOOD AVE",
"city": "MONTAIN HOME",
"state": "TN",
"postal_code": "37684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JAMES H QUILLEN VAMC",
"address_2": "BUILDING 8, DOGWOOD AVE",
"city": "MONTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.