Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tabitha Danielle Martin, LCSW

Individual provider Clinical Social Worker · NPI 1053909572

Mrs. Tabitha Danielle Martin, LCSW is a Clinical Social Worker in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10509 N Manchester Dr
Peoria, IL 61615-8891
Phone: (808) 321-1792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149022835 (IL)

Record details

NPI number1053909572
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2021
Last updated in NPPESJanuary 10, 2021
Certification dateJanuary 10, 2021

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