Individual provider Active NPI

Andrea Martin

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1902108079
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926232 Issued in CO
Practice address
6509 S Santa Fe Dr
Littleton, CO 80120-2910
Phone
(303) 730-8858
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X CSW.09926232 CO Primary

Addresses

Primary practice location

6509 S Santa Fe Dr
Littleton, CO 80120-2910

Mailing address

116 Inverness Dr E Ste 105
Englewood, CO 80112-5125
Phone (720) 707-6417

Other practice location 1

12550 New Brittany Blvd
Suite 200
Fort Myers, FL 33907-3655
Phone (239) 936-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210108001294 CO Practitioner - Clinical Social Worker 4183797756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926232COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 18, 2021 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 18, 2021 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303

Organizations & group practices 3

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1902108079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INVERNESS DR E STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125125",
            "telephone_number": "720-707-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 S SANTA FE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202910",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12550 New Brittany Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073655",
            "country_code": "US",
            "telephone_number": "239-936-1114",
            "fax_number": "239-936-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.