Kitasha Ann Martin is a Clinical in Patton, California. Kitasha Ann Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kitasha Ann Martin is 1235307992. The last update date is 2016-11-08.
Kitasha Ann Martin's current location address is 3102 E. Highland Avenue, Patton, California. You can contact this provider via phone number 9094257000. The mailing address for Kitasha Ann Martin is 3102 E. Highland Avenue, Patton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kitasha Ann Martin |
|---|---|
| Address | 3102 E. Highland Avenue, Patton, California |
| Phone Number | 9094257000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235307992 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2016-11-08 |
Provider Mailing Address Detail
| Address | 3102 E. Highland Avenue |
|---|---|
| City | Patton |
| State | California (CA) |
| Post Code | 92369 |
| Phone Number | 9094257000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 22861 |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kitasha Ann Martin?
The Kitasha Ann Martin has been issued the NPI (National Provider Identifier) 1235307992 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kitasha Ann Martin is physically located?
The Kitasha Ann Martin is situated at the following address: 3102 E. Highland Avenue, Patton, CA 92369.
What is the Kitasha Ann Martin's specialty and taxonomy code?
The Kitasha Ann Martin's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235307992 to Kitasha Ann Martin?
The Centers for Medicare & Medicaid Services originally issued the 1235307992 to Kitasha Ann Martin on 2008-02-15.
When was the Kitasha Ann Martin's information last updated?
The Kitasha Ann Martin's information was last updated on 2016-11-08.
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