| Mary Martin, Lcsw, Llc | |
|
5527 Old Us Highway 93 Ste B Florence MT 59833-6570 | |
| (406) 240-6738 | |
| Not Available |
| Full Name | Mary Martin, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5527 Old Us Highway 93 Ste B, Florence, Montana |
| Authorized Official Name and Position | Mary Martin (OWNER) |
| Authorized Official Contact | 4062406738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Martin, Lcsw, Llc Po Box 1343 Florence MT 59833-1343 Ph: (406) 240-6738 | Mary Martin, Lcsw, Llc 5527 Old Us Highway 93 Ste B Florence MT 59833-6570 Ph: (406) 240-6738 |
| NPI Number | 1194301309 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Medicare PECOS PAC ID | 6800294745 |
|---|---|
| Medicare Enrollment ID | O20211007002099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194301309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720419997 PECOS PAC ID: 2264656354 Enrollment ID: I20140611000588 |
The Nurturing Edge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5406 Moonbeam Way, Florence, MT 59833 Phone: 406-231-6405 | |
Florence Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5549 Old Hwy 93, Florence, MT 59833 Phone: 406-273-4923 |