Individual provider · Type 1 NPI

Jennifer Ann Martin, MSW

Clinical Social Worker · La Porte, IN

NPI number 1407220999 Active

Practice location

424 Perry St
La Porte, IN 46350-3200

Fax (219) 809-0334

Mailing address

58938 Towne Rd
Elkhart, IN 46517-9340

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1407220999

Jennifer Ann Martin, MSW's National Provider Identifier is 1407220999, issued on Nov 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Porte, IN. The record was last updated on Nov 29, 2015.