Individual provider · Type 1 NPI

Tabitha Danielle Martin, LCSW

Clinical Social Worker · Peoria, IL

NPI number 1053909572 Active

Practice location

10509 N Manchester Dr
Peoria, IL 61615-8891

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149022835 (IL)

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 1053909572

Tabitha Danielle Martin, LCSW's National Provider Identifier is 1053909572, issued on Jan 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Jan 10, 2021.