Samuel A Martin Iv, MSW, LCSW | |
1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | |
(719) 572-6100 | |
Not Available |
Full Name | Samuel A Martin Iv |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 1795 Jet Wing Dr, Colorado Springs, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598176034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09924848 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Care Center Llc | 5991064420 | 185 |
Entity Name | Family Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
---|---|
Samuel A Martin Iv, MSW, LCSW 220 Ruskin Drive, Colorado Springs, CO 80910 Ph: (719) 572-6100 | Samuel A Martin Iv, MSW, LCSW 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 Ph: (719) 572-6100 |
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6370 Boscomb Pl, Colorado Springs, CO 80922 Phone: 405-474-9630 | |
Mrs. Raquel Dominguez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5373 N Union Blvd Ste 103, Colorado Springs, CO 80918 Phone: 719-644-6131 | |
Robyn Chapel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3462 Briargate Blvd, Colorado Springs, CO 80920 Phone: 719-233-2866 | |
Mary J Prinz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 Fax: 719-447-4791 | |
Jill Ann Karsh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1843 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-660-5351 | |
Mrs. Maggie Levin Ellias, MSS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5540 Tech Center Dr, Suite 203, Colorado Springs, CO 80919 Phone: 719-548-0100 | |
Mr. Gary Dwayne West, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906 Phone: 719-576-6617 |