Audrey Martin Farris, LISW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CW018374 Issued in PA

Practice address

3461 Market St Ste 104
Camp Hill, PA 17011-4412

Phone

(717) 219-3986

NPI assigned

Dec 16, 2013

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Audrey Marie Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audrey Farris, LCSW, LLC

  • Clinical Social Worker
  • Camp Hill, PA
  • NPI 1982455416
  NPD Authorized official
• Hope Behavioral Health LLC

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1821432758
  NPD

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1891116000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 MARKET ST STE 104",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114412",
            "telephone_number": "717-219-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 MARKET ST STE 104",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114412",
            "telephone_number": "717-219-3986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24100 Chagrin Blvd Suite 330",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "44122",
            "country_code": "US",
            "telephone_number": "800-642-4560 x837",
            "fax_number": "216-245-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "AUDREY",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128939",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1.1801370",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW018374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "MARTIN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.