Individual provider · Type 1 NPI

Etta Louise Martin, LCSW

Clinical Social Worker · Sherman Oaks, CA

NPI number 1487639852 Active

Practice location

4911 Van Nuys Blvd, Suite 102
Sherman Oaks, CA 91403-1716

Fax (818) 905-2845

Mailing address

4201 Ventura Canyon Ave
Sherman Oaks, CA 91423-4329

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS21526 (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 1487639852

Etta Louise Martin, LCSW's National Provider Identifier is 1487639852, issued on Dec 8, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sherman Oaks, CA. The record was last updated on Jul 13, 2026.