Kathy Martin is a Clinical in Minneapolis, Minnesota. Kathy Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathy Martin is 1578630984. The last update date is 2007-07-08.
Kathy Martin's current location address is 3100 W Lake St, Minneapolis, Minnesota. You can contact this provider via phone number 6129256033 and fax number 6129258496. The mailing address for Kathy Martin is 3100 W Lake St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Martin |
|---|---|
| Address | 3100 W Lake St, Minneapolis, Minnesota |
| Phone Number | 6129256033 |
| Fax Number | 6129258496 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1578630984 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3100 W Lake St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554164527 |
| Phone Number | 6129256033 |
| Fax Number | 6129258496 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9011 |
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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 |
|---|---|---|---|
| 411425197 | MN | CIGNA BEHAVIORAL HEALTH | |
| 843521900 | MN | -- | |
| HP19963 | MN | HEALTHPARTNERS | |
| 6234667 | MN | MEDICA CHOICE | |
| 111570C154 | MN | UCARE | |
| 800004028 | MN | RR MEDICARE | |
| 9H390MA | MN | BCBS |
Post Comment/ Review Below
What is the Kathy Martin's unique identification number?
The Kathy Martin has been assigned the NPI (National Provider Identifier) Number 1578630984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kathy Martin's physical address?
The Kathy Martin is physically located at 3100 W Lake St, in the city of Minneapolis, MN, with the postal code 554164527.
What is Kathy Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathy Martin is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Kathy Martin receive its 1578630984 assignment?
The Kathy Martin was assigned its 1578630984 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
When was the Kathy Martin's information last updated?
The Kathy Martin's information was last updated on 2007-07-08.