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Contact Information

DEBORAH A MARTIN, LCSW
116 NE 5TH ST
CRYSTAL RIVER, FL34429
 Phone: 352-804-2953
 Fax: 352-228-8901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for DEBORAH A MARTIN · (Female)

NPI Number 1083891626
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/25/2008
Last updated 05/20/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SW8375
  • FL Medicaid 002272900
  • FL Medicaid 008618700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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