Individual provider Active NPI

Rachel A Martin, LISW

  • Clinical Social Worker
  • Highland Hills, OH
National Provider Identifier
1790943512
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0800135 Issued in OH
Practice address
4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone
(216) 292-9700
Fax
(216) 378-4613
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0800135 OH Primary

Addresses

Primary practice location

4255 Northfield Rd
Highland Hills, OH 44128-2811

Mailing address

4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone (216) 292-9700

Other identifiers 3

IdentifierTypeStateIssuer
0028740MedicaidOH
2448453OtherOHMACSIS: 10360
2448453MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0800135OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Centers for Children Clinical CurrentSince Apr 17, 2023 Accepting new patients
Achievement Centers for Children Current Accepting new patients

Locations

4255 Northfield Rd
Highland Hls, OH 44128
Phone (216) 292-9700

Interoperability endpoints

  • Direct secure messaging: rmartin86173@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1790943512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-378-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-378-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028740",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS:  10360",
            "identifier": "2448453",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2448453",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Hills, OH

Sources for this page

Verify at the official NPI Registry.