Nicole Martin, LCSW is a
Social Worker - Clinical based in Bryn Mawr, Pennsylvania. Nicole Martin is licensed to practice in Pennsylvania (license number CW020373) and her current practice location is
23 Good Shepherd Ter, Bryn Mawr, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(917) 319-2039.
NPI number for Nicole Martin is 1366999336 and her current mailing address is 23 Good Shepherd Ter, Bryn Mawr, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366999336.
Healthcare Provider's Profile
Full Name | Nicole Martin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 23 Good Shepherd Ter, Bryn Mawr, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366999336
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Nicole Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366999336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW020373 (Pennsylvania) | 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. Nicole 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 |
Nicole Martin, LCSW 23 Good Shepherd Ter, Bryn Mawr, PA 19010-1301 Ph: (917) 319-2039 | Nicole Martin, LCSW 23 Good Shepherd Ter, Bryn Mawr, PA 19010-1301 Ph: (917) 319-2039 |
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