Individual provider · Type 1 NPI

Patricia Dianne Martelle, LCSW

Clinical Social Worker · Star, ID

NPI number 1609376417 Active

Practice location

328 S Streamleaf Ave
Star, ID 83669-5908

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	24200 (ID)

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 1609376417

Patricia Dianne Martelle, LCSW's National Provider Identifier is 1609376417, issued on Feb 19, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Star, ID. The record was last updated on Feb 19, 2018.