Evelina Carol Martin in Lubbock - Clinical
Evelina Carol Martin - NPI 1578660361
Evelina Carol Martin is a Clinical in Lubbock, Texas. Evelina Carol Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evelina Carol Martin is 1578660361. The last update date is 2007-07-08.
Evelina Carol Martin's current location address is 6630 Quaker Ave Ste 102, Lubbock, Texas. You can contact this provider via phone number 8067931414 and fax number 8067930932. The mailing address for Evelina Carol Martin is 6630 Quaker Ave Ste 102, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelina Carol Martin |
|---|---|
| Address | 6630 Quaker Ave Ste 102, Lubbock, Texas |
| Phone Number | 8067931414 |
| Fax Number | 8067930932 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578660361 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6630 Quaker Ave Ste 102 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794135939 |
| Phone Number | 8067931414 |
| Fax Number | 8067930932 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 25334 |
|
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 |
|---|---|---|---|
| SW 25334 | TX | LICENSED CLNICAL SOCIAL W |
Post Comment/ Review Below
What is the Evelina Carol Martin's 1578660361?
The Evelina Carol Martin's NPI (National Provider Identifier) Number is 1578660361. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Evelina Carol Martin located?
The Evelina Carol Martin is located at 6630 Quaker Ave Ste 102, Lubbock, TX 794135939.
What is the area of specialization for Evelina Carol Martin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evelina Carol Martin is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578660361 to Evelina Carol Martin?
The Evelina Carol Martin received its 1578660361 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the Evelina Carol Martin's information last updated?
The Evelina Carol Martin's information was last updated on 2007-07-08.