Individual provider · Type 1 NPI

Amanda Martin

Clinical Social Worker · San Dimas, CA

NPI number 1235500091 Active

Practice location

762 Cypress St
San Dimas, CA 91773

Mailing address

762 Cypress St # 107
San Dimas, CA 91773-3505

Other practice locations

  • 1485 W Warm Springs Rd, # 107, Henderson, NV 89014-7631 · (702) 547-0201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X89378 (CA)
Rehabilitation Counselor 225C00000XNone listed
Clinical Social Worker Primary 1041C0700X111168 (CA)

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 1235500091

Amanda Martin's National Provider Identifier is 1235500091, issued on Oct 19, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Dimas, CA. The record was last updated on Jan 9, 2023.