Individual provider · Type 1 NPI

Kenneth Blair Martin Jr., LMSW

Clinical Social Worker · Portage, MI

NPI number 1831823665 Active

Practice location

5900 Portage Rd
Portage, MI 49002-1774

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801058849 (MI)
Social Worker 104100000X6801058849 (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 1831823665

Kenneth Blair Martin Jr., LMSW's National Provider Identifier is 1831823665, issued on Jul 16, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, MI. The record was last updated on May 11, 2026.