Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID LANCE MARTIN, LCSW
Active Sole ProprietorClinical Social Worker · FAIRVIEW, UT
Registration Details
- NPI Number
- 1861651325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2008 (17.867426603848 yrs)
- Last Updated
- Jun 1, 2023
- Licenses
-
5001946-3501 (UT)5001946-3502 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 N STATE STFAIRVIEW, UT, 846295554Browse UT providers · Browse ZIP 84629
- Phone
- 4356101810
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Mental Health Counselor
Other Clinical Social Worker Providers in FAIRVIEW, UT
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH LEO ANDERSON | LCSW | 1487988325 |
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.