Gail Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14386 Issued in TX

Practice address

3585 Timberglen Rd
Dallas, TX 75287-3424

Phone

(972) 662-5112

Fax

(817) 887-5540

NPI assigned

Oct 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment Care Compare group NPD
• Senior Mental Health Solutions, LP

  • Social Worker
  • Willow Park, TX
  • NPI 1083797443

  Clinical

  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1891984464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 SONNET DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714723",
            "telephone_number": "972-662-5112",
            "fax_number": "817-887-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 TIMBERGLEN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752873424",
            "telephone_number": "972-662-5112",
            "fax_number": "817-887-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "14386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBE",
            "identifier": "61074",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101185003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornelius Martin, LCSW
• Dana Martin, APRN
• Daniel Carl Kalae Martin, MPAS, PA-C, NRP
• David Exline Martin, M.D
• Dennis W Martin, CRNA
• Gary Dewayne Martin Jr., D.C.
• Gloria L. Martin, LPC, LMFT
• Gregory Randall Martin, MD
• Hal David Martin, DO
• Hayes Thomas Martin

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.