Individual provider · Type 1 NPI

Janice M. Martin, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1336205350 Active

Practice location

407 E Main St
Port Jefferson, NY 11777-1866

Mailing address

PO Box 433
Port Jefferson, NY 11777-0433

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR041079-1 (NY)

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 1336205350

Janice M. Martin, LCSW's National Provider Identifier is 1336205350, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.