Individual provider Active NPI

William Charles Martin, LCSW

  • Clinical Social Worker
  • Marathon, FL
National Provider Identifier
1891861829
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6660 Issued in FL
Practice address
11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600
Phone
(305) 906-0238
Fax
(305) 434-9040
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 6660 FL Primary
Clinical Social Worker 1041C0700X LCS 21181 CA

Addresses

Primary practice location

11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600

Mailing address

11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600
Phone (305) 906-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20130912000808 FL Practitioner - Clinical Social Worker 8123097771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11400 Overseas Hwy
Suite 224
Marathon, FL 33050-3600
Phone (305) 906-0238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 21181CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Counseling Enterprises, Inc. Clinical CurrentSince Jul 1, 2013 Accepting new patients

Locations

11400 Overseas Hwy
Ste 224
Marathon, FL 33050
Phone (305) 395-2430

Organizations & group practices 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1891861829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY STE 224",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "305-906-0238",
            "fax_number": "305-434-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY STE 224",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "305-906-0238",
            "fax_number": "305-434-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6660",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.