Eboni Martin, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111038 Issued in TX

Practice address

4506 Aiken TRL
Sachse, TX 75048-3338

Phone

(972) 863-1003

NPI assigned

Nov 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Freed Mind Group, PLLC

  • Counselor
  • Sachse, TX
  • NPI 1023796612
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1760205629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 AIKEN TRL",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 AIKEN TRL",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483338",
            "telephone_number": "972-863-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EBONI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "111038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keelalak Liaoyangyuen
• Linding Joy Lactation Care
• Richard M Lowlicht, DPT
• Jemimah Maison
• Brittany Nicole Martin, OD
• Masa Hills Health Services LLC
• Massage Bliss Center LLC
• Nadia Mayan, FNP-BC
• Lauren McCloud, DPT
• Emma Jane McDaniel, CCC-SLP

• Clinical Social Worker in Sachse, TX
• Providers in Sachse, 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 Nov 7, 2024; 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.