LATERRIEA MARTIN LCSW
NPI 1659299089
Social Worker - Clinical in Carbondale, IL

Active since July 06, 2026PECOS Enrolled
1819 W FREEMAN ST, CARBONDALE, IL 62901(618) 596-0416 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 29, 2026, Jul 6, 2026 (2 updates tracked since 2026).

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

NPI1659299089
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATERRIEA MARTINCredential: LCSW
Location Address1819 W FREEMAN STCarbondale, IL 62901-2105
Mailing Address1819 W Freeman StCarbondale, IL 62901-2105
Sole ProprietorYes
Enumeration DateJuly 6, 2026
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1659299089 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 IL · 149.030470
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.
1819 W FREEMAN ST, Carbondale, IL 62901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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).

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 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.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.