Leeann Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2615 Issued in GA

Practice address

2841 N Patterson St
Valdosta, GA 31602-1743

Phone

(229) 293-0132

Fax

(229) 293-0162

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801815543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023036",
            "telephone_number": "770-540-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021743",
            "telephone_number": "229-293-0132",
            "fax_number": "229-293-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LEEANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chryon Martin, LMT, NMT
• Ebonique Martin, LMFT
• Gregory D Martin, MD
• Jody Martin, MS BCBA
• Julia Elizabeth Martin, DPT
• Patricia Martin
• Taylor Montana Martin, DO
• Tedria L Martin, LMT, NT
• Jocelyne Martinez
• Nikole Martinez

• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.