MS. EVELYN E MARTIN (BS, SST) – Social Worker, NPI 1093000515

MS. EVELYN E MARTIN (BS, SST) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials BS, SST. They hold a License No. 6803086054 (MI). The NPI Number for MS. EVELYN E MARTIN (BS, SST) is 1093000515

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. EVELYN E MARTIN (BS, SST)
NPI
1093000515
Phone
(313) 396-5300
Address
2939 RUSSELL ST
Enumeration Date
13 June 2011
Last Update Date
13 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133965300
Graduation Year
2011 (15 years ago)
PAC ID
4789987926
Group Practice PAC ID
2264451830
Professional Enrollment ID
I20160122000514
Address ID
MI482074825DE2925XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MS. EVELYN E MARTIN (BS, SST)

  • 2939 RUSSELL ST

    DETROIT, MI 482074825

    Phone: (313) 396-5300

    Fax: (313) 396-5353

    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: 2016-01-22

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
I20160122000514IClinical Social WorkerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour4213$0
90834Psychotherapy, 45 minutes3511$0
View full utilization report →

Insurance plans in this area (ZIP 48207)

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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: 2264451830View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
-MI
P S Y C H I A T R YMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for MS. EVELYN E MARTIN (BS, SST) in the U.S.?
In the U.S., MS. EVELYN E MARTIN (BS, SST) is identified by NPI 1093000515.
Is MS. EVELYN E MARTIN (BS, SST)'s NPI status active today?
Active status means MS. EVELYN E MARTIN (BS, SST)'s NPI record is not deactivated in the public file.
How should patients interpret MS. EVELYN E MARTIN (BS, SST)'s specialty?
The extract shows Social Worker for MS. EVELYN E MARTIN (BS, SST). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. EVELYN E MARTIN (BS, SST)?
MS. EVELYN E MARTIN (BS, SST) is associated with Detroit, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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