MRS. BRENDA K MARTIN


Address: 127 N Green St, Statesville, NC 28677-5375
Phone: 7048737816

MRS. BRENDA K MARTIN (NPI# 1053496406) 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) 1053496406
Entity Type Individual
Full Name MRS. BRENDA K MARTIN
Credential LCSW MSW
Practice Address 127 N Green St
Statesville
NC 28677-5375
Practice Telephone 7048737816
Practice Fax Number 7048737817
Mailing Telephone 7048737816
Mailing Fax Number 7048737817
Enumeration Date 2006-10-26
Last Update Date 2017-11-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C000613 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6002130 05
BCBS 1010X 01
NC BCBS 1010X 01
RAILROAD MEDICARE P00426430 01

Other Providers BRENDA MARTIN

NPI Name Taxonomy Address Enumeration
1750981700 Brenda Kay Martin Technician 171 Chesapeake Rd, Fairmont, WV 26554-9699 2020-10-29
1689231813 Brenda Martin Student in an Organized Health Care Education/Training Program 322 Woodlawn Dr, Fairborn, OH 45324-4137 2019-05-22
1164987541 Brenda Martin Registered Nurse 25820 Southfield Rd Ste 111, Southfield, MI 48075-1800 2019-02-10
1164702916 Brenda J. Martin Massage Therapist 7476 S Broadway, Red Hook, NY 12571-1772 2011-08-25
1124288121 Brenda Hatfield Martin Occupational Therapy Assistant 1217 Augusta St, Charlottesville, VA 22903-5106 2008-06-12
1417134107 Brenda Martin Speech-Language Pathologist 10387 W. Shadow Rock Drive, Boise, ID 83714 2008-01-25
1063403970 Brenda Rae Martin Pharmacist Osawatomie State Hospital, Rt 1 Box 500, Osawatomie, KS 66064 2005-10-31
1407841000 Brenda Martin Nurse Practitioner 586 Moorestown Dr, Bath, PA 18014-9713 2005-09-20
1689275745 Brenda Martin Technician 1408 Harrison Ave, Elkins, WV 26241-3325 2020-11-05
1861021206 Brenda Martin Case Manager/Care Coordinator 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-04-07

Office Location

Street Address 127 N GREEN ST
City STATESVILLE
State NC
Zip Code 28677-5375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225284086 Annie Elizabeth Vargas Social Worker 127 N Green St, Statesville, NC 28677-5375 2008-08-13
1720106818 Health Services Unlimited Home Health 127 N Green St, Statesville, NC 28677-5338 2007-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306472311 Crystal Medley Hopkins Nurse Practitioner 105 Summer Breeze Court, Statesville, NC 28677 2020-03-21
1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1962069286 Leap Child & Family Services LLC Developmental Therapist 119 North Tradd Street, Statesville, NC 28677 2019-05-22
1831604891 Ingles Markets Inc Pharmacy 722 Sullivan Rd, Statesville, NC 28677 2017-12-12
1235663162 Sandra Lorraine Scalese Physical Therapy Assistant 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 2017-04-18
1437698891 Sherry Blevins Hager Pharmacist 722 Sullivan Road, Statesville, NC 28677 2017-02-17
1063828507 Susan Marie S Sheffield Dentist 518 Brookdale Drive, Statesville, NC 28677 2014-07-04
1659782449 Easter Seals Ucp Community/Behavioral Health 913 Carolina Ave, Statesville, NC 28677 2014-05-14
1306268016 Randall Scott Perry Dentist 1132 Davie Avenue, Statesville, NC 28677 2014-01-15
1215215876 Silhouette Enterprises Prosthetic/Orthotic Supplier 909 Carolina Ave, Statesville, NC 28677 2011-08-01
Find all providers in zip 28677

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043823396 Ketwan Kareem Graham Social Worker 474 N Center St, Statesville, NC 28677-4022 2020-08-26
1487284493 Tammy Yanus Tevepaugh Social Worker 929 Brookhaven Rd, Statesville, NC 28625-9234 2020-01-17
1396387270 Laurie B Trosuk Social Worker 1602 Davie Ave, Statesville, NC 28677-3520 2019-10-12
1689971590 Desiree' Benfield Crosswhite Social Worker 206 Cooper St Ste 117, Statesville, NC 28677-5897 2011-02-13
1679878003 John Earle Frazier Social Worker 431 Lewis Ferry Rd, Statesville, NC 28677-8707 2011-01-15
1639495088 Shameka Harley Chambers Social Worker 215 Barium Springs Drive, Statesville, NC 28677 2010-04-09
1518293703 Amy Lynn Davis Social Worker 108 Carolinian Dr, Statesville, NC 28677-9800 2009-10-23
1922204692 Amy Perras Eisele Social Worker 229 Davie Ave, Statesville, NC 28677-5316 2007-06-21
1093916751 Barium Springs Home for Children Social Worker 138 Barium Springs Drive, King - Prtf, Statesville, NC 28677 2007-05-30
1750486353 Sally Ann Reynolds Social Worker 520 Valley St, Statesville, NC 28677-7935 2006-09-14
Find all providers in STATESVILLE

Competitor

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City STATESVILLE
Zip Code 28677

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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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