Susie Lee Martin, LCSW is a
Social Worker - Clinical based in Monument Valley, Utah. Susie Lee Martin is licensed to practice in Utah (license number 12476698-3501) and her current practice location is
30 W Medical Dr, Monument Valley, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 727-3000.
NPI number for Susie Lee Martin is 1902615719 and her current mailing address is Po Box 360005, Monument Valley, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902615719.
Healthcare Provider's Profile
Full Name | Susie Lee Martin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 30 W Medical Dr, Monument Valley, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902615719
- Provider Enumeration Date: 01/06/2025
- Last Update Date: 01/06/2025
Medical Identifiers
Medical identifiers for Susie Lee Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902615719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 12476698-3501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susie Lee Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susie Lee Martin, LCSW Po Box 360005, Monument Valley, UT 84536-0005 Ph: (435) 727-3000 | Susie Lee Martin, LCSW 30 W Medical Dr, Monument Valley, UT 84536-7705 Ph: (435) 727-3000 |
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