MRS. MARTHA KINMAN FAY (MSW CMHP) – Social Worker, NPI 1316109838

MRS. MARTHA KINMAN FAY (MSW CMHP) is a healthcare provider. based in Cocoa beach, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW CMHP. They hold a License No. SW4370 (FL). The NPI Number for MRS. MARTHA KINMAN FAY (MSW CMHP) is 1316109838

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARTHA KINMAN FAY (MSW CMHP)
NPI
1316109838
Phone
(321) 323-9302
Address
5050 OCEAN BEACH BLVD APT 103
Enumeration Date
26 June 2008
Last Update Date
8 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612215696
Graduation Year
2002 (24 years ago)
PAC ID
6800202284
Group Practice PAC ID
5799136701
Professional Enrollment ID
I20210309003262
Address ID
FL334463449DE8031XDRXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MRS. MARTHA KINMAN FAY (MSW CMHP)

  • 5050 OCEAN BEACH BLVD APT 103

    COCOA BEACH, FL 329313762

    Phone: (321) 323-9302

    Fax: (888) 354-4711

    Mailing address matches the actual address.

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: 2021-03-09

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
I20210309003262IClinical Social WorkerFLTBD

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 32931)

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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: 5799136701View full group profile
NameSpecialtyState
Mental Health CounselorND
Clinical Social WorkerPA
Clinical Social WorkerCT
Clinical Social WorkerSC
Mental Health CounselorMS
Mental Health CounselorMS
Mental Health CounselorWA
Clinical Social WorkerND
Mental Health CounselorMA
Clinical Social WorkerND

Reviews

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Frequently asked questions

Does MRS. MARTHA KINMAN FAY (MSW CMHP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. MARTHA KINMAN FAY (MSW CMHP) uses 1316109838.
Can I rely on MRS. MARTHA KINMAN FAY (MSW CMHP) being an active provider?
As of the registry snapshot, MRS. MARTHA KINMAN FAY (MSW CMHP) is marked active.
What is MRS. MARTHA KINMAN FAY (MSW CMHP) best known for clinically?
Directory data describes MRS. MARTHA KINMAN FAY (MSW CMHP) with Social Worker. Clinical services aligned with this taxonomy classification.
Where is MRS. MARTHA KINMAN FAY (MSW CMHP) based?
MRS. MARTHA KINMAN FAY (MSW CMHP) is tied to Cocoa Beach, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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