Individual provider Active NPI

Amy R Martin

  • Social Worker
  • Chicago, IL
National Provider Identifier
1851260640
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.110914 Issued in IL
Practice address
4141 N Kedzie Ave Ste 2
Chicago, IL 60618-2479
Phone
(773) 754-0577
NPI assigned
Oct 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.110914 IL Primary

Addresses

Primary practice location

4141 N Kedzie Ave Ste 2
Chicago, IL 60618-2479

Mailing address

4141 N Kedzie Ave Ste 2
Chicago, IL 60618-2479
Phone (773) 754-0577

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

LicenseStateTypeSpecialty
150.110914ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Expanded Mental Health Services of Chicago NFP CurrentSince Nov 8, 2025 Accepting new patients
Martin Counseling, LCSW, PLLC Current Accepting new patients

Locations

4141 N Kedzie Ave
Ste 2
Chicago, IL 60618
Phone (773) 203-5358

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": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1851260640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 N KEDZIE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182479",
            "telephone_number": "773-754-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N KEDZIE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182479",
            "telephone_number": "773-754-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.110914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.