Individual provider · Type 1 NPI

Kristen Martin

Clinical Social Worker · Palm Bay, FL

NPI number 1124483508 Active

Practice location

2475 Palm Bay Rd, Suite 130, Unit 8
Palm Bay, FL 32905

Mailing address

PO Box 60032
Palm Bay, FL 32906-0032

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Counselor 101Y00000XNone listed

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 1124483508

Kristen Martin's National Provider Identifier is 1124483508, issued on Dec 29, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palm Bay, FL. The record was last updated on Apr 27, 2026.