CAREY MARTIN LCSW
NPI 1396487112
Social Worker - Clinical in Vicksburg, MS

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
1911 MISSION 66 STE B, VICKSBURG, MS 39180(601) 665-4162(855) 830-3484 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1396487112
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAREY MARTINCredential: LCSW
Location Address1911 MISSION 66 STE BVicksburg, MS 39180-3762
Mailing Address557 Grants Ferry RdBrandon, MS 39047-9023 · (601) 665-4162 · Fax (855) 830-3484
Fax(855) 830-3484
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1396487112 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 MS · C8050
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.

1911 MISSION 66 STE B, Vicksburg, MS 39180

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9234579004
PECOS Enrollment IDI20260501002949
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 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.

New Patient
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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.

Social Worker (Clinical)
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Social Worker (Clinical)
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Social Worker (Clinical)
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Nurse Practitioner (Family)
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Nurse Practitioner
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Social Worker (Clinical)
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Nurse Practitioner (Gerontology)
1911 MISSION 66 STE B
VICKSBURG, MS 39180
Nurse Practitioner (Family)
1911 MISSION 66 STE B
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.

When was this NPI record last updated?

The NPPES record for Carey Martin was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.