Carla Lynn Martin is a Clinical in Avon, Connecticut. Carla Lynn Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carla Lynn Martin is 1669685145. The last update date is 2013-04-30.
Carla Lynn Martin's current location address is 141 Forge Drive, Avon, Connecticut. You can contact this provider via phone number 8604048846. The mailing address for Carla Lynn Martin is 141 Forge Drive, Avon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Lynn Martin |
|---|---|
| Address | 141 Forge Drive, Avon, Connecticut |
| Phone Number | 8604048846 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669685145 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2013-04-30 |
Provider Mailing Address Detail
| Address | 141 Forge Drive |
|---|---|
| City | Avon |
| State | Connecticut (CT) |
| Post Code | 6001 |
| Phone Number | 8604048846 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5635 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4068284 | CT | -- | |
| 4215308 | CT | -- | |
| 8030935 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carla Lynn Martin by the Centers for Medicare & Medicaid Services?
The Carla Lynn Martin has been issued the NPI (National Provider Identifier) 1669685145, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carla Lynn Martin?
The Carla Lynn Martin is physically situated at 141 Forge Drive, in the city of Avon, state of CT, with the postal code 6001.
What is Carla Lynn Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carla Lynn Martin is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669685145 to Carla Lynn Martin?
The Centers for Medicare & Medicaid Services assigned the 1669685145 to Carla Lynn Martin on 2007-05-08.
As of what date was the information pertaining to Carla Lynn Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carla Lynn Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-04-30.
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