Individual provider · Type 1 NPI

Mary Martin, MSW

Clinical Social Worker · Tupelo, MS

NPI number 1154743441 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 640-4595 Map

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM6986 (MS)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XC-6986 (MS)

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 1154743441

Mary Martin, MSW's National Provider Identifier is 1154743441, issued on Jan 6, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tupelo, MS. The record was last updated on Sep 4, 2025.