CORNELIUS MARTIN LCSW
NPI 1316977184
Social Worker - Clinical in Dallas, TX

Active since July 04, 2006
4054 MCKINNEY AVE STE 102, DALLAS, TX 75204(214) 520-6308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cornelius Martin Lcsw NPPES

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

CORNELIUS MARTIN LCSW (NPI 1316977184) is an individual clinical provider in Dallas, Texas, licensed in Texas (S18803) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1316977184
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCORNELIUS MARTINCredential: LCSW
Location Address4054 MCKINNEY AVE STE 102Dallas, TX 75204-2050
Mailing Address4054 Mckinney Ave Ste 102Dallas, TX 75204-2050 · (214) 520-6308
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316977184 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 TX · S18803
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.

4054 MCKINNEY AVE STE 102, Dallas, TX 75204

Other Identifiers 4

Medicare ID-Type Unspecified8B7979
Other86478QBc/bs
Other9398151Phcs
Medicare UPINS62424

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Counselor (Mental Health)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Counselor (Professional)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Counselor (Professional)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204

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 Cornelius Martin's NPI number?

The NPI number for Cornelius Martin is 1316977184. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Cornelius Martin located?

Cornelius Martin practices at 4054 Mckinney Ave Ste 102, Dallas, TX 75204. The listed phone number is (214) 520-6308.

What is Cornelius 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 Cornelius Martin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.