| Kimber Joy Martinez, LCSW | |
|
1630 Klondike Rd, West Lafayette, IN 47906-4801 | |
| (765) 491-0566 | |
| Not Available |
| Full Name | Kimber Joy Martinez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1630 Klondike Rd, West Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972236289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34007727A (Indiana) | Primary |
| Entity Name | Mending Minds, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780258798 PECOS PAC ID: 4284037987 Enrollment ID: O20210719001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimber Joy Martinez, LCSW 1630 Klondike Rd, West Lafayette, IN 47906-4801 Ph: (765) 491-0566 | Kimber Joy Martinez, LCSW 1630 Klondike Rd, West Lafayette, IN 47906-4801 Ph: (765) 491-0566 |
Genevieve Judayna Elmahdi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 Augusta Blvd, West Lafayette, IN 47906 Phone: 765-427-0486 | |
Sally Ann Timmons, LCSW, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-404-6431 Fax: 765-477-7843 | |
Mrs. Malissa Kaye Crowe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-491-6175 Fax: 765-743-5850 | |
Mr. Christopher Hutcheson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Foundry Dr Ste 1200, West Lafayette, IN 47906 Phone: 765-299-6807 Fax: 765-637-7402 | |
Ms. Gwenda Sue Eiler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Stadium Mall Dr., Purdue Univeristy Student Health Center, West Lafayette, IN 47907 Phone: 765-494-6995 Fax: 765-496-2139 | |
Mr. Ryaan J Mansouri, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 Win Hentschel Blvd Ste 222, West Lafayette, IN 47906 Phone: 765-237-9091 Fax: 765-374-2752 | |
Cydney Woolley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 3rd St Bldg Room1120, West Lafayette, IN 47907 Phone: 765-496-3004 |