Warren Douglas Martin in Springfield - Clinical
Warren Douglas Martin - NPI 1083796718
Warren Douglas Martin is a Clinical in Springfield, Oregon. Warren Douglas Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Warren Douglas Martin is 1083796718. The last update date is 2011-08-03.
Warren Douglas Martin's current location address is 2073 Olympic Street, Springfield, Oregon. You can contact this provider via phone number 5416823550 and fax number 5416823551. The mailing address for Warren Douglas Martin is 2073 Olympic Street, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Warren Douglas Martin |
|---|---|
| Address | 2073 Olympic Street, Springfield, Oregon |
| Phone Number | 5416823550 |
| Fax Number | 5416823551 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083796718 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2011-08-03 |
Provider Mailing Address Detail
| Address | 2073 Olympic Street |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974773413 |
| Phone Number | 5416823550 |
| Fax Number | 5416823551 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3913 |
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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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What is the Warren Douglas Martin's unique identification number?
The Warren Douglas Martin has been assigned the NPI (National Provider Identifier) Number 1083796718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Warren Douglas Martin's physical address?
The Warren Douglas Martin is physically located at 2073 Olympic Street, in the city of Springfield, OR, with the postal code 974773413.
What is Warren Douglas Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Warren Douglas Martin is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083796718 to Warren Douglas Martin?
The Centers for Medicare & Medicaid Services originally issued the 1083796718 to Warren Douglas Martin on 2006-10-20.
As of what date was the information regarding Warren Douglas Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Warren Douglas Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-03.
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