NPPES file of Aug 9, 2026

Shannon R. Martin, LCSW

Clinical Social Worker · Glendale, AZ

Shannon R. Martin, LCSW is a clinical social worker with a practice address in Glendale, Arizona, and NPI 1962708685, issued on Jan 27, 2011. Check the license (Arizona LCSW-13585, as entered in NPPES) with the Arizona board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1962708685
Name
Shannon R. Martin
Credential
LCSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
LCSW-13585 AZ
Self-reported in NPPES; status is on the state search
Practice location
17505 N 79TH Ave Ste 304A, Glendale, AZ 85308
Phone
(623) 606-5522
Enumerated
Jan 27, 2011
Record last updated
Jul 16, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(623) 878-5800
Medicaid ID
709592 AZ
Medicare enrollment
Enrolled (PECOS I20120918000906); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Shannon R. Martin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license LCSW-13585
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Shannon R. Martin among 3,200 clinical social worker records in Arizona

Shannon R. Martin, LCSW is one of 3,200 clinical social worker records with a practice address in Arizona. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2011, is newer than 33% of them.

  • NPI issued2011 · 33% of these records are older, 64% newer
  • In a Medicare fileNo · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 20% of these records are
  • Graduated1998 · median 2011 among the 648 with a school on file
  • Record last updated2021 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

91 clinical social worker records list a practice address in Glendale

They are 91 of the 5,447 NPPES records with a practice address in Glendale, and 3,200 clinical social worker records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical social worker records with the nearest ZIP codes

  1. Nancy Colattur, MSW, LCSW, LISACGlendale, AZ 853081366681348
  2. Anne Conser, LCSWGlendale, AZ 853081437140613
  3. Kelley Galeano, LCSWGlendale, AZ 853081194858373
  4. Kelly Gutowski, LCSWGlendale, AZ 853081497989495
  5. Lesley Hayes, LCSW 10123Glendale, AZ 853081356447577
  6. David Lull, M.S.S.S., PH.D.Glendale, AZ 853081962436501
  7. Marsha Lull, MSWGlendale, AZ 853081861418428
  8. Randall McBride, LCSWGlendale, AZ 853081174790844

Common questions

What is Shannon R. Martin, LCSW's NPI number?

Shannon R. Martin, LCSW's National Provider Identifier (NPI) is 1962708685, issued on Jan 27, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Shannon R. Martin, LCSW located?

The NPPES record lists a practice address at 17505 N 79TH Ave Ste 304A, Glendale, AZ, 85308. Phone: (623) 606-5522. Providers update this record themselves, so call before visiting.

How can I verify Shannon R. Martin, LCSW's license?

NPPES lists Arizona license number LCSW-13585, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.