Individual provider Active NPI

Jodi Leigh Martin, LCSW

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1932432523
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006431 Issued in NC
Practice address
1124 E Lexington Ave
High Point, NC 27262-3336
Phone
(336) 841-6083
NPI assigned
Sep 14, 2009
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006431 NC Primary

Addresses

Primary practice location

1124 E Lexington Ave
High Point, NC 27262-3336

Mailing address

1124 E Lexington Ave
High Point, NC 27262-3336
Phone (336) 841-6083

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JMARTIN408883@DIRECT.NOVANTHEALTH.ORG

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006431NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Focus Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmartin408883@direct.novanthealth.org

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

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1932432523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E LEXINGTON AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623336",
            "telephone_number": "336-841-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E LEXINGTON AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623336",
            "telephone_number": "336-841-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JODI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JMARTIN408883@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1124 E Lexington Ave",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272623336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.