Individual provider · Type 1 NPI
Laterriea Martin, LCSW
Clinical Social Worker · Carbondale, IL
Practice location
1819 W Freeman St
Carbondale, IL 62901-2105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.030470 (IL) |
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 1659299089
Laterriea Martin, LCSW's National Provider Identifier is 1659299089, issued on Jul 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carbondale, IL. The record was last updated on Jul 29, 2026.