Individual provider · Type 1 NPI

Tikerea Latreace Tate Martin, LCSW

Clinical Social Worker · Newhall, CA

NPI number 1780103689 Active

Practice location

24270 Walnut St
Newhall, CA 91321-2925

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108765 (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 1780103689

Tikerea Latreace Tate Martin, LCSW's National Provider Identifier is 1780103689, issued on Sep 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newhall, CA. The record was last updated on Aug 14, 2026.