Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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.

See every abbreviation used in this directory →

Practice location Address checks out

600 Broadway St
Longview, WA 98632-3256 Not confirmed with CMS for 14 years — call before visiting
Phone: (360) 414-2236
Fax: (360) 414-2788
Show map & directions

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients77
Services billed 523 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Peacehealth

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 187 clinicians in the practice; 12 are shown here.

Other providers in Longview