MARTRELL DENISE KELLY JOHN


Address: 250 Commonwealth Dr, Greenville, SC 29615-4846
Phone: 2404637794

MARTRELL DENISE KELLY JOHN (NPI# 1003467267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003467267
Entity Type Individual
Full Name MARTRELL DENISE KELLY JOHN
Credential LISW-CP
Practice Address 250 Commonwealth Dr
Greenville
SC 29615-4846
Mailing Address 139 Harmony Dr
Spartanburg
SC 29301-5729
Practice Telephone 2404637794
Mailing Telephone 2404637794
Enumeration Date 2019-09-27
Last Update Date 2019-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
14582 MD Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
10326 SC Behavioral Health & Social Service Providers

Office Location

Street Address 250 COMMONWEALTH DR
City GREENVILLE
State SC
Zip Code 29615-4846

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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NPI Name Taxonomy Address Enumeration
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1790324580 Margaret Vester Social Worker 1502 E 4th St, Greenville, NC 27858-2609 2019-12-27
1336790633 Jenna Bonnell Canterbury Social Worker 926 Cleveland St Apt 4208, Greenville, SC 29601-4651 2019-09-27
1386294361 Desirae Rivers Social Worker 132 Chandler Dr Apt B, Greenville, NC 27834-6075 2019-09-12
1770048365 The Soar Firm, LLC Social Worker 2320 E North St Ste Gg8, Greenville, SC 29607-1247 2019-02-07
1447733068 Kerri Lanzieri Social Worker 562 Putnam Pike, Greenville, RI 02828-2126 2018-09-10
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Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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