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

MS. Angela Maria Martin, MSW, LCSW

Individual provider Social Worker · NPI 1417018664

MS. Angela Maria Martin, MSW, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Qualified in 1994, 32 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
32
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

12225 71st St
Kenosha, WI 53142-7320
Phone: (877) 666-7223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6021 Durand Avenue, Racine, WI 53406 — (262) 515-3220

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6568-123 (WI)
Social Worker Taxonomy 104100000X · Licence 6568 (WI)

Record details

NPI number1417018664
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kenosha