Doctor Name: | MEGAN NICOLE MARTIN |
NPI Number: | 1023357571 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-A |
License Number: | P006816 |
Business Practice Address: | 913 N Carolina Ave Statesville, NC - 286773414 |
Business Phone Number: | 7049367512 |
Business Fax Number: | |
Mailing Address: | 913 N Carolina Ave, STATESVILLE |
State: | NC |
Postal Code: | 286773414 |
Phone Number: | 7049367512 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 02/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P006816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |