SHARDAE ELISE MARTIN LSW
NPI 1174209886
Social Worker - Clinical in Chicago, IL

Active since June 26, 2023
840 W IRVING PARK RD, CHICAGO, IL 60613(872) 265-1235(773) 275-3880 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shardae Elise Martin Lsw NPPES

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

SHARDAE ELISE MARTIN LSW (NPI 1174209886) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (150111865) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1174209886
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHARDAE ELISE MARTINCredential: LSW
Location Address840 W IRVING PARK RDChicago, IL 60613-3011
Mailing Address4446 N Racine AveChicago, IL 60640-5640
Fax(773) 275-3880
Sole ProprietorNo
Enumeration DateJune 26, 2023
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
NPI 1174209886 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 · 150111865
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.
840 W IRVING PARK RD, Chicago, IL 60613

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
840 W IRVING PARK RD, STE 301
CHICAGO, IL 60613
Internal Medicine (Pulmonary Disease)
840 W IRVING PARK RD, STE 305
CHICAGO, IL 60613
Nurse Practitioner (Family)
840 W IRVING PARK RD, STE 301
CHICAGO, IL 60613
Pediatrics
840 W IRVING PARK RD, SUITE 304
CHICAGO, IL 60613
Family Medicine
840 W IRVING PARK RD
CHICAGO, IL 60613
Social Worker (Clinical)
840 W IRVING PARK RD, SUITE 203
CHICAGO, IL 60613
Dentist
840 W IRVING PARK RD, SUITE407
CHICAGO, IL 60613
Nurse Practitioner
840 W IRVING PARK RD, SUITE 301
CHICAGO, IL 60613

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 Shardae Martin's NPI number?

The NPI number for Shardae Martin is 1174209886. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Shardae Martin located?

Shardae Martin practices at 840 W Irving Park Rd, Chicago, IL 60613. The listed phone number is (872) 265-1235.

What is Shardae Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Shardae Martin was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.