HOLLY MARTIN (LCSW) – Social Worker, NPI 1124495023

HOLLY MARTIN (LCSW) is a healthcare provider. based in Cabot, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 7523-C (AR). The NPI Number for HOLLY MARTIN (LCSW) is 1124495023

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY MARTIN (LCSW)
NPI
1124495023
Phone
(501) 843-9233
Address
203B WESTPORT DR
Enumeration Date
26 August 2015
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012559147
Graduation Year
2015 (11 years ago)
PAC ID
4284013533
Group Practice PAC ID
7012258627
Professional Enrollment ID
I20220616003113
Address ID
AR721167083NO4810XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for HOLLY MARTIN (LCSW)

  • 203B WESTPORT DR

    CABOT, AR 720233657

    Phone: (501) 843-9233

    Fax: (501) 843-9656

    Type: Mailing

  • 10025 W. MARKHAM STREET

    STE 210

    LITTLE ROCK, AR 722052178

    Phone: (501) 663-5473

    Fax: (501) 801-1816

    Type: Mailing

  • 2809 FOREST HOME RD

    JONESBORO, AR 724015320

    Phone: (866) 972-1268

    Type: Mailing

  • 3358 S 2ND ST STE A-C

    CABOT, AR 720237873

    Phone: (501) 286-6053

    Fax: (501) 286-6090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220616003113IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012258627View full group profile
NameSpecialtyState
-AR
Psychiatry, Addiction MedicineAR
Nurse PractitionerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerMO
Mental Health CounselorAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Does HOLLY MARTIN (LCSW) have a public NPI I can cite?
Public records show HOLLY MARTIN (LCSW) under NPI 1124495023.
Is HOLLY MARTIN (LCSW)'s NPI status active today?
Active status means HOLLY MARTIN (LCSW)'s NPI record is not deactivated in the public file.
What does the directory say HOLLY MARTIN (LCSW) does?
Insurance directories may phrase it differently, but here HOLLY MARTIN (LCSW) maps to Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to HOLLY MARTIN (LCSW)?
HOLLY MARTIN (LCSW) shows a connection to Cabot, Arkansas in registry-derived data.
Why is information missing for HOLLY MARTIN (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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