Kathleen S. Martin, Msw, Lcsw,inc. | |
3307 Northlake Blvd # B104 B104 Palm Beach Gardens FL 33403-1703 | |
(561) 694-5265 | |
Not Available |
Full Name | Kathleen S. Martin, Msw, Lcsw,inc. |
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Speciality | Social Worker |
Location | 3307 Northlake Blvd # B104, Palm Beach Gardens, Florida |
Authorized Official Name and Position | Kathleen Stonebrink Martin (OWNER) |
Authorized Official Contact | 5616945265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kathleen S. Martin, Msw, Lcsw,inc. 3307 Northlake Blvd # B1o4 B104 Palm Beach Gardens FL 33403-1703 Ph: (561) 694-5265 | Kathleen S. Martin, Msw, Lcsw,inc. 3307 Northlake Blvd # B104 B104 Palm Beach Gardens FL 33403-1703 Ph: (561) 694-5265 |
NPI Number | 1215316286 |
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Provider Enumeration Date | 05/24/2015 |
Last Update Date | 04/15/2016 |
Medicare PECOS PAC ID | 4981995354 |
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Medicare Enrollment ID | O20160615002484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215316286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | SW6384 (Florida) | Primary |
Provider Name | Kathleen S Martin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881737732 PECOS PAC ID: 7113904327 Enrollment ID: I20040706001077 |
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