CHRIS E MARTIN (LCSW) – Clinical Social Worker, NPI 1417379488

CHRIS E MARTIN (LCSW) is a healthcare provider. based in Poplar bluff, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2019032544 (MO). The NPI Number for CHRIS E MARTIN (LCSW) is 1417379488

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CHRIS E MARTIN (LCSW)
NPI
1417379488
Phone
(573) 686-2411
Address
686 LESTER ST
Enumeration Date
10 January 2014
Last Update Date
9 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
9133555824
Group Practice PAC ID
5991615072
Professional Enrollment ID
I20200128001338
Address ID
MO639013923PO225XXDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for CHRIS E MARTIN (LCSW)

  • 686 LESTER ST

    POPLAR BLUFF, MO 639015025

    Phone: (573) 686-2411

    Fax: (573) 778-7271

    Type: Location

  • 211 SAINT FRANCIS DRIVE

    MEDICAL AFFAIRS

    CAPE GIRARDEAU, MO 637035049

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

  • 225 PHYSICIANS PARK STE 400

    POPLAR BLUFF, MO 639013923

    Phone: (573) 772-7722

    Fax: (573) 778-7282

    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: 2020-01-28

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
I20200128001338IClinical Social WorkerMOTBD

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 63901)

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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: 5991615072View full group profile
NameSpecialtyState
Nurse PractitionerMO
Clinical Social WorkerMO
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Clinical Social WorkerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find CHRIS E MARTIN (LCSW)'s NPI?
You can confirm CHRIS E MARTIN (LCSW) with NPI 1417379488; it appears in the national provider directory.
Is CHRIS E MARTIN (LCSW)'s NPI currently valid?
The extract we use shows CHRIS E MARTIN (LCSW) as active.
Does CHRIS E MARTIN (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for CHRIS E MARTIN (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHRIS E MARTIN (LCSW)?
The page summarizes Poplar Bluff, Missouri for CHRIS E MARTIN (LCSW); expand the address list for detail.
What if Poplar Bluff, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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