Active NPI
Martha K. Brown, LCSW
- Clinical Social Worker
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002958A
- Practice address
- 401 John St
Evansville, IN 47713-2733 - Phone
- (812) 492-8330
- Fax
- (812) 492-8333
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- 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 | 34002958A | IN | Primary |
Addresses
Primary practice location
401 John St
Evansville, IN 47713-2733
Mailing address
415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 436-4232
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153874 | Other | IN | SIHO |
| 11489726 | Other | IN | CAQH |
| 839090005 | Other | IN | MEDICARE |
| 000000859951 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002958A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespring, Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients |
Locations
480 Eversman Dr
Jasper, IN 47546
Phone (812) 482-3020
1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281
460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583
Organizations & group practices 3
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.
-
dba Southern Indiana Mental Health and Guidance Center of ECI
- Community/Behavioral Health Agency
- Jeffersonville, IN
- NPI 1851489942
-
- Community/Behavioral Health Agency
- Jasper, IN
- NPI 1487121687
-
dba LifeSpring Health Systems
- Community/Behavioral Health Agency
- Dale, IN
- NPI 1639029283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1750556551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131230",
"telephone_number": "812-436-4232",
"fax_number": "812-422-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 JOHN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132733",
"telephone_number": "812-492-8330",
"fax_number": "812-492-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARTHA",
"middle_name": "K.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002958A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "153874",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11489726",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "839090005",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000859951",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.