Tabitha Martin, LCSW
NPI 1053909572 · Clinical Social Worker · Peoria, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tabitha Martin, LCSW is a Clinical Social Worker provider in Peoria, IL (NPI 1053909572).
Provider details
- NPI number
- 1053909572
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149022835 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-10
- Last updated
- 2021-01-10
- Certified
- 2021-01-10
Frequently asked questions
- What is Tabitha Martin's NPI number?
- Tabitha Martin's National Provider Identifier (NPI) is 1053909572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tabitha Martin's specialty?
- Tabitha Martin is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tabitha Martin located?
- Tabitha Martin's practice location on file with NPPES is 10509 N Manchester Dr, Peoria, IL 61615-8891.
- What is Tabitha Martin's phone number?
- The practice phone number listed in the NPPES registry for Tabitha Martin is (808) 321-1792.
- Does Tabitha Martin accept Medicare?
- Tabitha Martin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tabitha Martin's NPI active?
- Yes — Tabitha Martin's NPI (1053909572) is active in the NPPES registry as of the last update on 2021-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.