KELLY MARTIN
NPI 1487112264
Social Worker - Clinical in Salt Lake City, UT

Q: What is Kelly Martin's NPI number?

The NPI number for Kelly Martin is 1487112264. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Q: What is Kelly Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Martin was last updated on June 4, 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.

Active since March 11, 2019

449 E 2100 S, SALT LAKE CITY, UT 84115(801) 596-2111(801) 359-3878 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2021, Mar 11, 2019 (2 updates tracked since 2019).

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About Kelly Martin NPPES

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

KELLY MARTIN (NPI 1487112264) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (8978900-3501) and active in the NPI registry since March 2019. She maintains a secondary practice location in Layton.

NPPES Registry Identity

NPI1487112264

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY MARTIN

Location Address449 E 2100 SSalt Lake City, UT 84115-2237

Mailing Address523 Heritage Park BlvdLayton, UT 84041-5711 · (801) 525-9998

Phone(801) 596-2111

Fax(801) 359-3878

Sole ProprietorNo

Enumeration DateMarch 11, 2019

Last NPPES UpdateJune 4, 20212 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1487112264 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 UT · 8978900-3501

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.

449 E 2100 S, Salt Lake City, UT 84115

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Secondary Practice Location 1

Location 1523 Heritage Park BlvdLayton, UT 84041-5711 · Phone (801) 525-9998

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.

DEANNA WILLIS

Licensed Vocational Nurse