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KAREN MARTIN LISW-CP, MSW
NPI 1669001673
Social Worker - Clinical in Martinsburg, WV

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
115 AIKENS CTR, MARTINSBURG, WV 25404(304) 820-9365 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2026, Apr 6, 2020, Apr 2, 2020 (3 updates tracked since 2020).

About Karen Martin Lisw-cp, Msw NPPES

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

KAREN MARTIN LISW-CP, MSW (NPI 1669001673) is an individual clinical provider in Martinsburg, West Virginia, licensed in South Carolina (18600) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Summerville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669001673
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN MARTINCredential: LISW-CP, MSW
Location Address115 AIKENS CTRMartinsburg, WV 25404-6210
Mailing Address88 Aldershot DrMartinsburg, WV 25405-5806 · (304) 886-1946
Phone(304) 820-9365
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2020
Last NPPES UpdateApril 19, 20263 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1669001673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in SC · 18600✔ Licensed in WV · BP009444380
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.
Also ListedSocial WorkerTaxonomy 104100000X · License BP009444380 (WV)
115 AIKENS CTR, Martinsburg, WV 25404
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Secondary Practice Location 1

Location 189 Old Trolley Rd Ste 102Summerville, SC 29485-4951 · Phone (843) 900-3590 · Fax (854) 246-8965

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

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

Karen Martin Lisw-cp, Msw 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 ID5395212112
PECOS Enrollment IDI20260429001209
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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolina Grace Counseling
464 mi
Clinical
89 OLD TROLLEY RD STE 202
Summerville, SC 29485
  • Reassigned Medicare billing, South Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1356098370 (854) 206-5513

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 25404 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 $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY LIFE MY WAY INC
Community/Behavioral Health
115 AIKENS CTR, SUITE 10
MARTINSBURG, WV 25404
Berkeley County (304) 676-4260
MARGARET SOMMER LSW
Social Worker
115 AIKENS CTR, SUITE 10
MARTINSBURG, WV 25404
Berkeley County (304) 676-4260

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 Karen Martin's NPI number?

The NPI number for Karen Martin is 1669001673. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Karen Martin located?

Karen Martin practices at 115 Aikens Ctr, Martinsburg, WV 25404. The listed phone number is (304) 820-9365.

What is Karen Martin's specialty?

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

Is Karen Martin enrolled in Medicare?

Yes. Karen 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 organization bills Medicare for Karen Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Martin reassigns Medicare benefits to Carolina Grace Counseling (Summerville, SC). The 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 Karen Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Martin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list Karen Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Martin was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.