Carolyn Marty, LSW is a
Social Worker based in Galesburg, Illinois. Carolyn Marty is licensed to practice in Illinois (license number 150014404) and her current practice location is
2323 Windish Dr, Galesburg, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 344-2323.
NPI number for Carolyn Marty is 1225464415 and her current mailing address is 2323 Windish Dr, Galesburg, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225464415.
Healthcare Provider's Profile
| Full Name | Carolyn Marty |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2323 Windish Dr, Galesburg, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225464415
- Provider Enumeration Date: 09/19/2013
- Last Update Date: 09/19/2013
Medical Identifiers
Medical identifiers for Carolyn Marty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225464415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 150014404 (Illinois) | 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. Carolyn Marty 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 |
|---|
Carolyn Marty, LSW
2323 Windish Dr,
Galesburg, IL 61401-9780
Ph: () - | Carolyn Marty, LSW
2323 Windish Dr,
Galesburg, IL 61401-9780
Ph: (309) 344-2323 |
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