Debra A Martinez, LCSW | |
1615 Mlk Blvd, Malvern, AR 72104 | |
(501) 332-5236 | |
(501) 620-5109 |
Full Name | Debra A Martinez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1615 Mlk Blvd, Malvern, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629255476 | NPI | - | NPPES |
170706795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2155-C (Arkansas) | Primary |
Entity Name | Ouachita Regional Counseling & Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821087123 PECOS PAC ID: 7416853445 Enrollment ID: O20031210000795 |
Mailing Address | Practice Location Address |
---|---|
Debra A Martinez, LCSW 125 Wellness Way, Hot Springs, AR 71913-6478 Ph: (501) 624-7111 | Debra A Martinez, LCSW 1615 Mlk Blvd, Malvern, AR 72104 Ph: (501) 332-5236 |
Birkes Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403 | |
Coy Price, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1628 E Page Ave, Malvern, AR 72104 Phone: 501-332-4437 | |
Ms. Flecia Greta Bryant, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403 | |
Mrs. Carrie Ella Cannon, M.A. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1615 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-5236 | |
Angela D Moses, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 302 S Main St, Malvern, AR 72104 Phone: 501-463-1327 Fax: 501-242-4016 | |
Penny Stokes, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 | |
Jeff Parker, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403 |