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MRS. TABITHA DANIELLE MARTIN LCSW
NPI 1053909572
Social Worker - Clinical in Peoria, IL

Active since January 10, 2021PECOS Enrolled
10509 N MANCHESTER DR, PEORIA, IL 61615(808) 321-1792 Get Directions Write a Review

NPPES record last updated: January 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Tabitha Danielle Martin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TABITHA DANIELLE MARTIN LCSW (NPI 1053909572) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149022835) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053909572
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TABITHA DANIELLE MARTINCredential: LCSW
Location Address10509 N MANCHESTER DRPeoria, IL 61615-8891
Mailing Address10509 N Manchester DrPeoria, IL 61615-8891 · (808) 321-1792
Phone(808) 321-1792
Sole ProprietorNo
Enumeration DateJanuary 10, 2021
NPPES CertifiedJanuary 10, 2021
✔ NPI 1053909572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149022835
Definition
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.
10509 N MANCHESTER DR, Peoria, IL 61615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tabitha Danielle Martin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabitha Martin's NPI number?

The NPI number for Tabitha Martin is 1053909572. It was assigned to this individual provider in the NPPES registry on January 10, 2021.

Where is Tabitha Martin located?

Tabitha Martin practices at 10509 N Manchester Dr, Peoria, IL 61615. The listed phone number is (808) 321-1792.

What is Tabitha Martin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tabitha Martin enrolled in Medicare?

Yes. Tabitha Martin is registered in the Medicare PECOS enrollment system.

What insurance does Tabitha Martin accept?

Health plans from Providence Health Plan list Tabitha Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabitha Martin was last updated on January 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.