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

Individual provider Social Worker · NPI 1699049304

Tanya Kehaulani Martin, LICSW is a Clinical Social Worker in Longview, Washington. Qualified in 2000, 26 years ago. Practices with Peacehealth, a 187-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

600 Broadway St
Longview, WA 98632-3256
Phone: (360) 414-2236
Fax: (360) 414-2788
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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 LW60247128 (WA)
Social Worker Taxonomy 104100000X · Licence CG60156645 (WA)

Record details

NPI number1699049304
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 27, 2012
Last updated in NPPESFebruary 27, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Longview