Angela Maria Martin in Kenosha - Clinical
Angela Maria Martin - NPI 1417018664
Angela Maria Martin is a Clinical in Kenosha, Wisconsin. Angela Maria Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angela Maria Martin is 1417018664. The last update date is 2023-06-26.
Angela Maria Martin's current location address is 5930-5th Avenue, Kenosha, Wisconsin. You can contact this provider via phone number 2625153220 and fax number 2625540127. The mailing address for Angela Maria Martin is 5930-5th Avenue, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Angela Maria Martin |
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Address | 5930-5th Avenue, Kenosha, Wisconsin |
Phone Number | 2625153220 |
Fax Number | 2625540127 |
Sole Proprietor | N |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1417018664 |
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Provider Enumeration Date | 2006-12-12 |
Last Updated Date | 2023-06-26 |
Provider Mailing Address Detail
Address | 5930-5th Avenue |
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City | Kenosha |
State | Wisconsin (WI) |
Post Code | 53140 |
Phone Number | 2625153220 |
Fax Number | 2625540127 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6568-123 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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39746200 | WI | -- |
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What is the unique 10-digit identification code issued to Angela Maria Martin by the Centers for Medicare & Medicaid Services?
The Angela Maria Martin has been assigned the NPI (National Provider Identifier) 1417018664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Angela Maria Martin's physical address?
The Angela Maria Martin is physically located at 5930-5Th Avenue, in the city of Kenosha, WI, with the postal code 53140.
What is Angela Maria Martin's area of expertise and its corresponding taxonomy classification?
The Angela Maria Martin's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Angela Maria Martin receive its 1417018664 assignment from the Centers for Medicare & Medicaid Services?
The Angela Maria Martin was assigned its 1417018664 on 2006-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Angela Maria Martin most recently updated?
The details pertaining to the Angela Maria Martin, including its address, specialty, and other relevant information, were last refreshed on 2023-06-26.