Bradley Neal Martin, LMSW | |
3809 Rosewood Dr, Columbia, SC 29205-3533 | |
(803) 939-2642 | |
Not Available |
Full Name | Bradley Neal Martin |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3809 Rosewood Dr, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144729153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12411 (South Carolina) | Primary |
Entity Name | Mental Illness Recovery Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194047563 PECOS PAC ID: 1658564562 Enrollment ID: O20101025000289 |
Mailing Address | Practice Location Address |
---|---|
Bradley Neal Martin, LMSW 3809 Rosewood Dr, Columbia, SC 29205-3533 Ph: (803) 939-2642 | Bradley Neal Martin, LMSW 3809 Rosewood Dr, Columbia, SC 29205-3533 Ph: (803) 939-2642 |
Martrisha Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Executive Pointe Blvd Ste 104, Columbia, SC 29210 Phone: 855-284-7483 | |
Mr. Addison Ronald Richardson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Broad River Rd, Columbia, SC 29212 Phone: 803-896-9421 Fax: 803-896-9588 | |
Jacqueline Hartley Dunning, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Stuart St, Columbia, SC 29207 Phone: 803-751-3005 | |
Robert Shawn Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Eric Wayne Powell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2712 Middleburg Dr, Columbia, SC 29204 Phone: 803-851-1923 Fax: 803-851-1922 | |
Stephanie Butler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 Fax: 803-939-2646 | |
Keith J Jones, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3201 Trenholm Rd, Columbia, SC 29204 Phone: 803-787-2306 Fax: 803-790-6554 |