Active NPI
Christina D Martin, LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1750732822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801087522
- Practice address
- 2350 Green Rd Ste 160
Ann Arbor, MI 48105-1572 - Phone
- (734) 994-8277
- NPI assigned
- Jun 29, 2016
- 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 | 6801087522 | MI | Primary |
Addresses
Primary practice location
2350 Green Rd Ste 160
Ann Arbor, MI 48105-1572
Mailing address
2350 Green Rd Ste 160
Ann Arbor, MI 48105-1572
Phone (734) 994-8277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Clinical | Current | Accepting new patients |
Locations
2350 Green Rd
Ste 160
Ann Arbor, MI 48105
Phone (315) 771-4657
5958 N Canton Center Rd
Ste 900
Canton, MI 48187
Phone (734) 727-1200
20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282
Interoperability endpoints
- lifestancehealth.christinamartin@150339.advancedmd-direct.com
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": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1750732822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 GREEN RD STE 160",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051572",
"telephone_number": "734-994-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 GREEN RD STE 160",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051572",
"telephone_number": "734-994-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTINA",
"middle_name": "D",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801087522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.