Mark Allen Martello in Iron Mountain - Clinical
Mark Allen Martello - NPI 1629068622
Mark Allen Martello is a Clinical in Iron Mountain, Michigan. Mark Allen Martello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Allen Martello is 1629068622. The last update date is 2019-09-10.
Mark Allen Martello's current location address is 325 E H St, Iron Mountain, Michigan. You can contact this provider via phone number 9067743300. The mailing address for Mark Allen Martello is 325 E H St, Iron Mountain, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Martello |
|---|---|
| Address | 325 E H St, Iron Mountain, Michigan |
| Phone Number | 9067743300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629068622 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2019-09-10 |
Provider Mailing Address Detail
| Address | 325 E H St |
|---|---|
| City | Iron Mountain |
| State | Michigan (MI) |
| Post Code | 498014760 |
| Phone Number | 9067743300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8830-123 |
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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 |
|---|---|---|---|
| LCSW-1205 | ID | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Allen Martello by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Allen Martello has been assigned the NPI (National Provider Identifier) 1629068622. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark Allen Martello?
The Mark Allen Martello is situated at 325 E H St, in the city of Iron Mountain, state of MI, with the zip code 498014760.
What is Mark Allen Martello's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Allen Martello's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629068622 to Mark Allen Martello?
The Centers for Medicare & Medicaid Services assigned the 1629068622 to Mark Allen Martello on 2005-10-21.
As of what date were the details pertaining to Mark Allen Martello last refreshed?
The information related to the Mark Allen Martello, including its address, specialty, and other relevant details, was last updated on 2019-09-10.