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Daphne Janice Martin

Social Worker

Behavioral Health & Social Service Providers

4848 W Irving Park Rd, Chicago, IL 60641-2718

PECOS Enrollment

This provider is enrolled in PECOS as DAPHNE MARTIN.

Based on the most recent information from CMS, provider Daphne Janice Martin is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1801637020
Provider Type
Individual
Full Name
Martin, Daphne Janice
Title
Miss
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/3/2024
Last Updated
6/16/2025

Contact Information

Practice Location

4848 W Irving Park Rd, Chicago, IL 60641-2718

(773) 347-9002

(773) 866-8015

Mailing Location

PO Box 746715, Atlanta, GA 30374-6715

(773) 352-1515

(312) 929-0373

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.027064 Illinois

Daphne Janice Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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