LATERRIEA MARTIN LCSW
NPI 1659299089
Social Worker - Clinical in Carbondale, IL
About Laterriea Martin Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATERRIEA MARTIN LCSW (NPI 1659299089) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (149.030470) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laterriea Martin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Laterriea Martin's NPI number?
The NPI number for Laterriea Martin is 1659299089. It was assigned to this individual provider in the NPPES registry on July 6, 2026.
Where is Laterriea Martin located?
Laterriea Martin practices at 1819 W Freeman St, Carbondale, IL 62901. The listed phone number is (618) 596-0416.
What is Laterriea Martin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Laterriea Martin enrolled in Medicare?
Yes. Laterriea Martin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Laterriea Martin was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.