Tanya Kehaulani Martin, LICSW
NPI 1699049304ActiveIndividual· Social Worker, Clinical· Longview, WA
Social Worker, Clinical (LICSW) with Mindful Therapy Group PC and 1 other group, practicing in Longview, Washington. Medicare paid $43,617 for services to 77 patients in 2024.
Overview
| NPI | 1699049304 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Feb 27, 2012 |
| Last updated in NPPES | Feb 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW60247128 | WA |
| Social Worker | 104100000X | CG60156645 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 523 across 5 procedure codes |
| Paid by Medicare | $43,617 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Mindful Therapy Group PCMountlake Terrace, WA · 670 clinicians
- PeacehealthLongview, WA · 195 clinicians
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All 47 clinical social workers in Longview · All clinical social workers in Washington