CAREY MARTIN LCSW
NPI 1396487112
Social Worker - Clinical in Vicksburg, MS
About Carey Martin Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAREY MARTIN LCSW (NPI 1396487112) is an individual clinical provider in Vicksburg, Mississippi, licensed in Mississippi (C8050) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carey Martin Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carey Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
Raymond, MS 39154
- Reassigned Medicare billing, Mississippi enrollment
- 170 clinicians in this Medicare group
Duson, LA 70529
- Reassigned Medicare billing, Louisiana enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VICKSBURG, MS 39180
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 Carey Martin's NPI number?
The NPI number for Carey Martin is 1396487112. It was assigned to this individual provider in the NPPES registry on April 12, 2022.
Where is Carey Martin located?
Carey Martin practices at 1911 Mission 66 Ste B, Vicksburg, MS 39180. The listed phone number is (601) 665-4162.
What is Carey Martin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Carey Martin enrolled in Medicare?
Yes. Carey Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carey Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carey Martin reassigns Medicare benefits to 3 organizations: Mdb Behavioral Health Services LLC (Vicksburg, MS), Minor Med Care, LLC (Raymond, MS) and Tiffany Roy Fnp LLC (Duson, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carey Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carey Martin was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carey Martin, LCSW · NPI 1396487112
Clinical provider in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1396487112 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C8050 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1911 MISSION 66 STE B, Vicksburg, MS 39180-3762
- **Phone:** (601) 665-4162 · **Fax:** (855) 830-3484
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mdb Behavioral Health Services LLC (NPI 1669835310, Vicksburg, MS); Minor Med Care, LLC (NPI 1669575627, Raymond, MS); Tiffany Roy Fnp LLC (NPI 1376986257, Duson, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396487112) · Data from the CMS NPPES public registry.