Individual provider · Type 1 NPI

Cody Elizabeth Martin, LCSW

Clinical Social Worker · West Peoria, IL

NPI number 1649645110 Active

Practice location

3000 W Rohmann Ave
West Peoria, IL 61604-4842

Call (309) 671-0300 Map

Mailing address

4704 N Edgebrook Dr
Peoria, IL 61614-6014

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.031934 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1649645110

Cody Elizabeth Martin, LCSW's National Provider Identifier is 1649645110, issued on Dec 9, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Peoria, IL. The record was last updated on Jun 21, 2026.