Stephanie Clark Martin, LICSW, LCSW in Fairfax, VA - Medicare Clinical Social Worker Provider

Stephanie Clark Martin, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairfax, Virginia. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northern Virginia Older Adult Counseling and her current practice location is 10615 Judicial Dr Ste 301, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 402-2091.

Stephanie Clark Martin is licensed to practice in Virginia (license number 0904012093) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932798261.

Contact Information

	Stephanie Clark Martin, LICSW, LCSW
	10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501
	(703) 402-2091
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Clark Martin
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	10615 Judicial Dr Ste 301, Fairfax, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Clark Martin graduated from medical school in 2010

NPI Data:

NPI Number: 1932798261
Provider Enumeration Date: 01/12/2021
Last Update Date: 01/12/2021

Medicare PECOS Information:

PECOS PAC ID: 8527472737
Enrollment ID: I20210129001921

Medical Identifiers

Medical identifiers for Stephanie Clark Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932798261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC50079674 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	0904012093 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Virginia Older Adult Counseling	5294039608	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Clark Martin allows following entities to bill medicare on her behalf.

Entity Name	Northern Virginia Older Adult Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831569896 PECOS PAC ID: 5294039608 Enrollment ID: O20160205000052

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Clark Martin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie Clark Martin, LICSW, LCSW 5709 Cedar Walk Apt 201, Centreville, VA 20121-4528 Ph: (256) 762-5915	Stephanie Clark Martin, LICSW, LCSW 10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501 Ph: (703) 402-2091

Reviews and Comments

Social Worker in Fairfax, VA

Ms. Diana Marcela Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 Phone: 703-321-2687
Cherelle Monea' Washington, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 415-424-4266 Fax: 415-520-6633
Trisha Marie Hindy Burks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000
Mrs. Irene Carol Ilachinski, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10400 Eaton Pl, Ste 200, Fairfax, VA 22030 Phone: 703-497-1771 Fax: 703-497-1225
Ms. Sandra M Mansfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Lee Highway, Suite 300, Fairfax, VA 22031 Phone: 703-207-2810 Fax: 703-207-2838
Anna Lee Koozmin, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-324-7100
Julia Lynn Converse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000

Stephanie Clark Martin, LICSW, LCSW - Medicare Clinical Social Worker in Fairfax, VA