Individual provider · Type 1 NPI

Reta Passwaters Martin, LCSW

Clinical Social Worker · Brandon, FL

NPI number 1912392010 Active

Practice location

421 Lithia Pinecrest Rd
Brandon, FL 33511-6138

Mailing address

9109 Oak Pride Ct
Tampa, FL 33647-3362

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 12489 (FL)

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 1912392010

Reta Passwaters Martin, LCSW's National Provider Identifier is 1912392010, issued on Apr 6, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brandon, FL. The record was last updated on Apr 6, 2015.