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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TABITHA DANIELLE MARTIN, LCSW

Active

MRS. TABITHA DANIELLE MARTIN, LCSW is a Clinical Social Worker healthcare provider located in PEORIA, Illinois. NPI 1053909572 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEORIA, IL

Registration Details

NPI Number
1053909572
Provider Type
Individual
Gender
Female
NPI Issued
Jan 10, 2021 (5.5727428719392 yrs)
Last Updated
Jan 10, 2021
License
149022835 (IL)

Practice Information

Address
10509 N MANCHESTER DR
PEORIA, IL, 616158891
Browse IL providers · Browse ZIP 61615
Phone
8083211792
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PEORIA, IL

Name Credential NPI
DIANE M BITTLE MSW.,LCSW 1710957550
MR. BRADLEY ALLEN POST LCSW 1821069725
JAMES M HERR LCSW 1851363675
MARY C BRUELL LCSW 1659345007
MS. JULIE A DIBERNARDINO-DOEDEN LCSW 1316901168
MS. NANCY A AMOS-SCHULTE LICENSED CLINICAL SO 1255396909
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.