Mr. Keith Stanley Martin
Clinical Social Worker
9300 Valley Childrens Pl
Madera
, California 93638-8761
Mr. Keith Stanley Martin
Clinical Social Worker
9300 Valley Childrens Pl
Madera
, California 93638-8761
(559) 276-1251
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Keith Stanley Martin
- 4507 W. Berkeley Avenue
- Fresno, CA
- Zip : 93722
- Phone : (559) 276-1251
Second Address
- Mr. Keith Stanley Martin
- 9300 Valley Childrens Pl
- Madera, CA
- Zip : 93638-8761
- Fax : (559) 353-5838
- Phone : (558) 353-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | LCS 15670 | CA |
National Provider Identifier
| NPI | 1003027046 |
|---|---|
| Provider Name | Mr. Keith Stanley Martin |
| First Address | Fresno, CA 93722 |
| Second Address | Madera, CA 93638-8761 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.