Organization Name: | MARTHA L. SCRANTON, MS.LCSW |
NPI Number: | 1003227190 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIANE V ALVA (BILLING MANAGER) |
Mailing Address: | 711 N Beaver St Flagstaff |
State: | AZ US |
Postal Code: | 860013103 |
Phone Number: | 9282141070 |
Fax Number: | 9282141071 |
NPI Enumeration Date: | 05/12/2014 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |