RICHARD A MARTIN (NPI# 1609365063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609365063 |
| Entity Type | Individual |
| Full Name | RICHARD A MARTIN |
| Credential | LCSW |
| Practice Address |
2980 Baker Dr Springfield IL 62703-5901 |
| Mailing Address |
2710 Happy Landing Dr Springfield IL 62711-9463 |
| Practice Telephone | 2174924955 |
| Mailing Telephone | 6189731401 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.009270 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSED CLINICAL SOCIAL WORKER | 149.009270 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Sw 34th Ave Ste 140, Ocala, FL 344747426 | 3522371947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170334 | Richard Dewayne Martin | Pharmacist | 165 Nw John Jones Dr, Burleson, TX 76028-5154 | 2015-12-30 |
| 1124412572 | Richard Martin | Preventive Medicine | 603 Crystal Springs Rd, Saint Helena, CA 94574-9668 | 2015-03-24 |
| 1891065116 | Richard Louis Martin | Registered Nurse | 1037 Archer Dr, Medford, OR 97501-4442 | 2012-01-03 |
| 1245522689 | Richard Joesph Martin | Counselor | 127 Weir Point Dr, Manteo, NC 27954-9409 | 2011-05-04 |
| 1720255607 | Richard Allen Martin Jr. | Emergency Medicine | 600 9th Ave, # 206, Seattle, WA 98104-2013 | 2008-05-10 |
| 1619046323 | Richard Eugene Martin | Internal Medicine | 122 N Bailey St, Pryor, OK 74361-4202 | 2006-11-07 |
| 1215023445 | Richard James Martin | Dentist | 1621 Beglis Pkwy, Sulphur, LA 70663-5906 | 2006-10-05 |
| 1003921487 | Richard Lee Martin Jr. | Optometrist | 2399 State Road 46 South, Wal-mart Vision Center, Terre Haute, IN 47803 | 2006-08-19 |
| 1639183858 | Richard James Martin | Dentist | 99 W 23rd St, Holland, MI 49423-4776 | 2006-07-27 |
| 1871521401 | Richard A Martin | Optometrist | 125 Janaf Sc, Norfolk, VA 23502-2501 | 2006-06-30 |
| Street Address |
2980 BAKER DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091393 | Joseph Edward Lasky | Social Worker | 2980 Baker Dr, Springfield, IL 62703-5901 | 2017-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on RICHARD A MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.