NPI: 1215327374

WAYNE MARTIN, LCSW

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• Entity Type: Individual (Gender: M)
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-28
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: Not Certified
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1215327374
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1215327374

Addresses

• Primary & Current, 2501 PARKVIEW DR SUITE 304, FORT WORTH, TX 761025824

Taxonomies

• 2018-01-07 ~ Present ³ , Clinical Social Worker (1041C0700X), Primary

Licenses

• 2018-01-07 ~ Present ³ , S19454, TX

Orgs. with the Same Mailing Address (4)

The list below shows the Organization Entities (Entity Type Code: 2) with the same mailing addresses. They may be other branch offices or co-located businesses.

• THERAPY FORT WORTH AND COUNSELING CENTER (1134706120)
• THE TIMOTHY CENTER INC (1740929546)
• PARADISE PSYCHOLOGY, PLLC (1558037234)
• MILESTONES DFW LLC (1942950233)

Orgs. with the Same Practice Address (9)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• UNITED HOSPICE SERVICES, INC. (1760427819)
• STAY THE COURSE VETERAN SERVICES (1043764491)
• ST. GABRIEL'S HOSPICE AND PALLIATIVE CARE, LLC (1679859060)
• SGHPC-SA, LLC (1386062438)
• LAPAROSCOPY BARIATRICS & SURGERY PA (1568470227)
• FORT WORTH PRIMARY CARE PROVIDERS (1699708362)
• CHOOSE (1861884272)
• CARDIOVASCULAR HOME CARE, INC. (1891798963)
• CANARY RIDGE COUNSELING PLLC (1477191385)

Endpoints

• 2019-11-10 ~ Present, wayne@waynemartinlcsw.com, DIRECT

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.