Individual provider · Type 1 NPI

Brian John Martin, LICSW

Clinical Social Worker · Moorhead, MN

NPI number 1043554207 Active

Practice location

1010 32nd Ave S
Moorhead, MN 56560-5001

Other practice locations

  • 1128 Westrac Dr S Ste A, Fargo, ND 58103-8729 · (701) 318-2017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6574 (ND)
Clinical Social Worker Primary 1041C0700X20003 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043554207

Brian John Martin, LICSW's National Provider Identifier is 1043554207, issued on Nov 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Jun 24, 2024.