CORNELIUS MARTIN (NPI# 1316977184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316977184 |
| Entity Type | Individual |
| Full Name | CORNELIUS MARTIN |
| Credential | LCSW |
| Practice Address |
4054 Mckinney Ave Ste 102 Dallas TX 75204-2050 |
| Practice Telephone | 2145206308 |
| Mailing Telephone | 2145206308 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S18803 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHCS | 9398151 | 01 | |
| BC/BS | 86478Q | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093234916 | Cornelius Martin | Physical Medicine & Rehabilitation | 353 S Berkshire Cv, Cordova, TN 38018-6786 | 2017-09-12 |
| 1023676434 | Cornelius Devante Martin | Dentist | 6900 Forest Ave Ste 110, Richmond, VA 23230-1730 | 2019-05-31 |
| Street Address |
4054 MCKINNEY AVE STE 102 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770510075 | Legacy Counseling Center Inc | Social Worker | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2006-06-26 |
| 1780121194 | Jill Curtis | Counselor | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2017-01-23 |
| 1386031573 | Nina Chappell | Counselor | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2015-04-25 |
| 1447650387 | Andrea Gonzalez | Social Worker | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2014-08-28 |
| 1023373222 | J Michael Cruz | Counselor | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2012-07-12 |
| 1952329120 | Alvin Dawson | Counselor | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2006-07-17 |
| 1114945383 | Helen Del Rio Carter | Social Worker | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2006-07-17 |
| 1982635512 | Helen P. Rosenberg-waks | Social Worker | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2006-07-05 |
| 1134159908 | Susan Liles Wisneski | Counselor | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2006-07-04 |
| 1215967088 | William Simpson Handy | Social Worker | 4054 Mckinney Ave Ste 102, Dallas, TX 75204-2050 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| 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 |
|---|---|---|---|---|
| 1528667185 | Jordan Elaine Halloran | Social Worker | 333 E Greenbriar Ln Apt 1226, Dallas, TX 75203-1115 | 2020-10-23 |
| 1821605650 | Wilma Davis - Reconnecting Families | Social Worker | 6310 Humoresque Dr, Dallas, TX 75241-2614 | 2020-09-25 |
| 1255947578 | Catherine Sang | Social Worker | 6322 Bryan Pkwy, Dallas, TX 75214-4307 | 2020-09-22 |
| 1922617166 | Pamela Mandt | Social Worker | 4312 Potomac Ave, Dallas, TX 75205-2629 | 2020-07-23 |
| 1437774601 | Soturi Counseling and Consulting, Pllc | Social Worker | 8500 N Stemmons Fwy Ste 1000, Dallas, TX 75247-3898 | 2020-06-12 |
| 1093338758 | Sophia Azhar | Social Worker | 2400 Bennett Ave Apt 2122, Dallas, TX 75206-7195 | 2020-05-28 |
| 1982225827 | Kirstin Elizabeth Brown | Social Worker | 9631 Baseline Dr, Dallas, TX 75243-4509 | 2020-05-01 |
| 1942836390 | Jenny Mary Esparza | Social Worker | 2043 Chevella Dr, Dallas, TX 75232-4159 | 2020-03-18 |
| 1790310175 | Alexis Nicole Sikes | Social Worker | 8215 Westchester Dr Ste 145, Dallas, TX 75225-6109 | 2020-03-06 |
| 1679107494 | Julia Clare Rossini | Social Worker | 10588 Stone Canyon Rd Apt 151, Dallas, TX 75230-4416 | 2020-03-02 |
| Find all providers in DALLAS | ||||
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| 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.