Individual provider · Type 1 NPI

Shannon R. Martin, LCSW

Clinical Social Worker · Glendale, AZ

NPI number 1962708685 Active

Practice location

17505 N 79th Ave Ste 304A
Glendale, AZ 85308-8729

Fax (623) 878-5800

Mailing address

7558 W Thunderbird Rd Ste 1-492
Peoria, AZ 85381-6080

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-13585 (AZ)

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 1962708685

Shannon R. Martin, LCSW's National Provider Identifier is 1962708685, issued on Jan 27, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, AZ. The record was last updated on Jul 16, 2021.