Individual provider · Type 1 NPI

Carissa Rose Martin

Clinical Social Worker · Lansing, MI

NPI number 1689396335 Active

Practice location

407 W Greenlawn Ave
Lansing, MI 48910-2819

Call (517) 882-4000 Map

Fax (517) 882-3506

Mailing address

7815 Trestlewood Dr Apt 1A
Lansing, MI 48917-8793

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801119943 (MI)

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 1689396335

Carissa Rose Martin's National Provider Identifier is 1689396335, issued on Sep 19, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lansing, MI. The record was last updated on Aug 22, 2025.