Active NPI
Martha Lee Horn, LMSW
- Social Worker
- Tyler, TX
National Provider Identifier
1902581374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 58792
- Practice address
- 1800 Shiloh Rd
Tyler, TX 75703-2418 - Phone
- (903) 714-8610
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 58792 | TX | Primary |
Addresses
Primary practice location
1800 Shiloh Rd
Tyler, TX 75703-2418
Mailing address
4350 Old Omen Rd Apt 1201
Tyler, TX 75707-2188
Phone (316) 633-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58792 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1902581374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 OLD OMEN RD APT 1201",
"city": "TYLER",
"state": "TX",
"postal_code": "757072188",
"telephone_number": "316-633-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SHILOH RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757032418",
"telephone_number": "903-714-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "MARTHA",
"middle_name": "LEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "58792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.