Active NPI
Lyla R Martin
- Social Worker
- Cockeysville, MD
National Provider Identifier
1821822545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 32081
- Practice address
- 111 Warren Rd Ste 5a
Cockeysville, MD 21030-3367 - Phone
- (443) 595-7627
- NPI assigned
- Aug 27, 2024
- 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 | 32081 | MD | Primary |
Addresses
Primary practice location
111 Warren Rd Ste 5a
Cockeysville, MD 21030-3367
Mailing address
14123 Sunnybrook Rd
Phoenix, MD 21131-1337
Phone (443) 248-1736
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 |
|---|---|---|---|
| 32081 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1821822545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14123 SUNNYBROOK RD",
"city": "PHOENIX",
"state": "MD",
"postal_code": "211311337",
"telephone_number": "443-248-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WARREN RD STE 5A",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303367",
"telephone_number": "443-595-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LYLA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "32081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.