Active NPI
Madelyn Antle Martin, LMSW
- Social Worker
- Baker, LA
National Provider Identifier
1801509468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17705
- Practice address
- 13582 Blackwater Rd
Baker, LA 70714-6800 - Phone
- (225) 930-8058
- NPI assigned
- Dec 28, 2022
- Last updated
- Apr 6, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 17705 | LA | Primary |
Addresses
Primary practice location
13582 Blackwater Rd
Baker, LA 70714-6800
Mailing address
1058 E Worthy St Ste B-2
Gonzales, LA 70737-4359
Phone (225) 450-3216
Other practice location 1
1058 E Worthy St Ste B-2
Gonzales, LA 70737-4359
Phone (225) 450-3216 ext. 1
Other names 1
- Madelyn Jayne Antle
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 |
|---|---|---|---|
| 17705 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhance Health Care Services Behavioral Health, LLC | Current | Accepting new patients | |
| Enhance Health Care Services Behavioral Health, LLC | Current | Accepting new patients |
Locations
1058 E Worthy St
Ste B2
Gonzales, LA 70737
Phone 2254503216 ext. 1
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Gonzales, LA
- NPI 1356183750
-
- Community/Behavioral Health Agency
- Gonzales, LA
- NPI 1366981557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1801509468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 E WORTHY ST STE B-2",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374359",
"telephone_number": "225-450-3216",
"fax_number": "225-450-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13582 BLACKWATER RD",
"city": "BAKER",
"state": "LA",
"postal_code": "707146800",
"telephone_number": "225-930-8058"
}
],
"practiceLocations": [
{
"address_1": "1058 E Worthy St Ste B-2",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "LA",
"postal_code": "707374359",
"country_code": "US",
"telephone_number": "225-450-3216 x1",
"fax_number": "225-450-3799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "MADELYN",
"middle_name": "ANTLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "17705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELYN",
"last_name": "ANTLE",
"middle_name": "JAYNE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.