ADRIAN MARTIN (BSW) – Mental Health Counselor, NPI 1063879153

ADRIAN MARTIN (BSW) is a healthcare provider. based in Muskogee, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials BSW. The NPI Number for ADRIAN MARTIN (BSW) is 1063879153

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ADRIAN MARTIN (BSW)
NPI
1063879153
Phone
(918) 682-8407
Address
619 N MAIN ST
Enumeration Date
21 January 2016
Last Update Date
21 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186828407
Graduation Year
2017 (9 years ago)
PAC ID
9638675341
Group Practice PAC ID
8022019017
Professional Enrollment ID
I20251008004788
Address ID
OK744014431MU619XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

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Provider Addresses for ADRIAN MARTIN (BSW)

  • 619, North Main Street, Muskogee, Muskogee County, Oklahoma, 74401, United States

    MUSKOGEE, OK 744014431

    Phone: (918) 682-8407

    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: 2025-10-08

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
I20251008004788IClinical Social WorkerOKTBD

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 74401)

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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: 8022019017View full group profile
NameSpecialtyState
Mental Health CounselorOK
Clinical Social WorkerOK
Nurse PractitionerOK
Family PracticeOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK
Physician AssistantOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Is ADRIAN MARTIN (BSW) listed with a National Provider Identifier?
Yes — ADRIAN MARTIN (BSW) has NPI 1063879153 on file in the registry.
Is ADRIAN MARTIN (BSW) still an active registrant?
ADRIAN MARTIN (BSW) carries an active NPI according to the public dataset.
What clinical focus is listed for ADRIAN MARTIN (BSW)?
At a glance, ADRIAN MARTIN (BSW) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ADRIAN MARTIN (BSW) located near Muskogee?
ADRIAN MARTIN (BSW) currently maps to Muskogee, Oklahoma in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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