Individual provider · Type 1 NPI

Tanya Kehaulani Martin, LICSW

Clinical Social Worker · Longview, WA

NPI number 1699049304 Active

Practice location

600 Broadway St
Longview, WA 98632-3256

Call (360) 414-2236 Map

Fax (360) 414-2788

Mailing address

PO Box 3002
Longview, WA 98632-0302

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XCG60156645 (WA)
Clinical Social Worker Primary 1041C0700XLW60247128 (WA)

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 1699049304

Tanya Kehaulani Martin, LICSW's National Provider Identifier is 1699049304, issued on Feb 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Longview, WA. The record was last updated on Feb 27, 2012.