Carissa Rose Martin, is a
Social Worker - Clinical based in East Lansing, Michigan. Carissa Rose Martin is licensed to practice in Michigan (license number 6851115010) and her current practice location is
323 E Pointe Ln Apt G17, East Lansing, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 625-3756.
NPI number for Carissa Rose Martin is 1689396335 and her current mailing address is 323 E Pointe Ln Apt G17, East Lansing, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689396335.
Healthcare Provider's Profile
Full Name | Carissa Rose Martin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 323 E Pointe Ln Apt G17, East Lansing, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689396335
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 01/12/2023
Medical Identifiers
Medical identifiers for Carissa Rose Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689396335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6851115010 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6851115010 (Michigan) | 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. Carissa Rose 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 |
Carissa Rose Martin, 323 E Pointe Ln Apt G17, East Lansing, MI 48823-1970 Ph: (810) 625-3756 | Carissa Rose Martin, 323 E Pointe Ln Apt G17, East Lansing, MI 48823-1970 Ph: (810) 625-3756 |
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