STEPHANIE CLARK MARTIN LICSW, LCSW
NPI 1932798261
Social Worker - Clinical in Fairfax, VA

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment
10615 JUDICIAL DR STE 301, FAIRFAX, VA 22030(703) 402-2091 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Clark Martin Licsw, Lcsw NPPES

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

STEPHANIE CLARK MARTIN LICSW, LCSW (NPI 1932798261) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904012093) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1932798261
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE CLARK MARTINCredential: LICSW, LCSW
Location Address10615 JUDICIAL DR STE 301Fairfax, VA 22030-7501
Mailing Address5709 Cedar Walk Apt 201Centreville, VA 20121-4528 · (256) 762-5915
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1932798261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VA · 0904012093 Licensed in DC · LC50079674
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.
10615 JUDICIAL DR STE 301, Fairfax, VA 22030

Other Names 1

Former Name (1)Stephanie Ruth Clark Licsw

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

Stephanie Clark Martin Licsw, 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 ID8527472737
PECOS Enrollment IDI20210129001921
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
588 services42 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 5

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

Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Social Worker (Clinical)
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030

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 Stephanie Martin's NPI number?

The NPI number for Stephanie Martin is 1932798261. It was assigned to this individual provider in the NPPES registry on January 12, 2021. The provider is also known as Stephanie Ruth Clark Licsw.

Where is Stephanie Martin located?

Stephanie Martin practices at 10615 Judicial Dr Ste 301, Fairfax, VA 22030. The listed phone number is (703) 402-2091.

What is Stephanie Martin's specialty?

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

Is Stephanie Martin enrolled in Medicare?

Yes. Stephanie 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 Stephanie Martin was last updated on January 12, 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.