Individual provider · Type 1 NPI

Lisa R. Martin, LCSW

Clinical Social Worker · Patrick Afb, FL

NPI number 1417002197 Active

Practice location

1370 Patrick Dr
Patrick Afb, FL 32925-3606

Fax (321) 494-8074

Mailing address

455 Indian Creek Dr
Cocoa Beach, FL 32931-2833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW2979 (FL)

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 1417002197

Lisa R. Martin, LCSW's National Provider Identifier is 1417002197, issued on Jan 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patrick Afb, FL. The record was last updated on Jul 9, 2007.