NPI 1215965140 · live from the CMS NPI Registry
Angela Marie Adams Martin, MS, LCSW
Social Worker, Clinical in Green Cove Springs, FL. National Provider Identifier 1215965140, active.
NPI record
| NPI | 1215965140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2328 Dallas Creek Ln, Green Cove Springs, FL 32043 |
| Practice phone | 217-898-8160 |
| Enumerated | June 29, 2006 |
| Last updated | December 11, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, Clinical primary | 1041C0700X | 14381 (FL) |
| Social Worker, Clinical | 1041C0700X | 149009865 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.