Tracy L Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254543 Issued in KY

Practice address

108 Ensminger Dr Ste a
Glasgow, KY 42141-1157

Phone

(270) 659-0035

Fax

(270) 629-4880

NPI assigned

Nov 25, 2019

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

Other identifiers 1

Other names 1

• Tracy L England Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Options Inc

  • Clinical Social Worker
  • Morgantown, KY
  • NPI 1356327076
  Medicare reassignment NPD
• Family Options, Inc

  • Clinical Social Worker
  • Owensboro, KY
  • NPI 1205226982
  NPD (past)
• Family Options, Inc.

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1558532853
  NPD (past)

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1851937908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422611205",
            "telephone_number": "270-791-5528",
            "fax_number": "270-526-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ENSMINGER DR STE A",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411157",
            "telephone_number": "270-659-0035",
            "fax_number": "270-629-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851937908",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "familyoptions1@yahoo.cmo",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1711 Parrish Plaza Dr",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423013482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://familyoptionsinc.wixsite.com/familyoptions",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Morgantown KY",
            "address_1": "1711 Parrish Plaza Dr",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423013482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ENGLAND",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry E Marion, LPN, CFA
• Michael Todd Marion, M.D.
• Wes K. Marion, RPH
• Martha Seeley, LLC
• April Martin, LCSW
• Tarah Jo Mathews, APRN
• Tayler McMurtrey Matney, MD
• Emma Renee Matthews
• Jarrod Ashley Mayhew, O.D.
• Mary Alesha Maynard, CSW

• Clinical Social Worker in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.