Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK MARTIN, LCSW
ActiveClinical Social Worker · PROVO, UT
Registration Details
- NPI Number
- 1356316392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.160061288587 yrs)
- Last Updated
- Jan 3, 2020
- License
-
11448098-3501 (UT)
Practice Information
- Address
-
750 N FREEDOM BLVDPROVO, UT, 846011677Browse UT providers · Browse ZIP 84601
- Phone
- 8013734760
- Fax
- 8013730639
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY LEE CHRISTENSEN | LCSW | 1205812450 |
| MS. AMY BUEHLER | LCSW | 1679551634 |
| MR. DEREK PAUL DAVIS | LCSW | 1386624625 |
| MARY ANN CARTER | LCSW | 1518926880 |
| MR. DORAN RAY WILLIAMS | LCSW | 1376500074 |
| MR. MICHAEL SW KING | LCSW | 1255363982 |
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.