CAROL MARTIN-MACK


Address: 401 Ne 4th St, Fort Lauderdale, FL 33301-1151
Phone: 9544536400

CAROL MARTIN-MACK (NPI# 1144658212) 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) 1144658212
Entity Type Individual
Full Name CAROL MARTIN-MACK
Credential MSW
Practice Address 401 Ne 4th St
Fort Lauderdale
FL 33301-1151
Mailing Address 17300 Ne 2nd Ct
North Miami Beach
FL 33162-1833
Practice Telephone 9544536400
Mailing Telephone 3053089978
Enumeration Date 2013-10-28
Last Update Date 2013-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 401 NE 4TH ST
City FORT LAUDERDALE
State FL
Zip Code 33301-1151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285277764 Marla Green Counselor 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2019-10-28
1356896633 Carmen Casas Psychologist 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2016-08-16
1265818868 Arlene Brown Marriage & Family Therapist 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2015-08-05
1053798280 Rose Bathol Social Worker 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2015-04-27
1992195291 Children's Home Society of Florida Clinic/Center 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2015-01-26
1922403138 Sasha Nicolle Counselor 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2014-10-30
1033510573 Ashley Wasserman Counselor 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2014-09-15
1700293198 The Children's Home Society of Florida Community/Behavioral Health 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2014-07-17
1659787240 Lisa Beth Bailey Counselor 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2014-07-03
1366878373 Maribel Nadal Counselor 401 Ne 4th St, Fort Lauderdale, FL 33301-1151 2013-09-23
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1962995845 Primary Care Specialist of South Florida Pa Internal Medicine 20200 W Dixie High Way, 1108, Aventura, FL 33301 2018-06-14
1356877047 Samaritan Counseling Center Community Based Residential Treatment Facility, Mental Illness 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 2017-05-02
1093263956 Lindsay Elizabeth Halas Speech-Language Pathologist 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 2016-09-20
1568842433 Elaina Williams Behavioral Analyst 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 2015-06-04
1598144057 Cynthia I Pepper Occupational Therapist 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 2015-05-29
1972900629 Marquita Rucker Counselor 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 2014-11-24
1932502879 Martha Bouza Obstetrics & Gynecology 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 2014-10-07
1891117016 Sara Jimenez Social Worker 401 Ne 4th Steret, Ft.lauderdale, FL 33301 2014-01-07
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346890043 Katia A Araujo Counselor 941 Ne 19th Ave Ste 305, Fort Lauderdale, FL 33304-3071 2019-09-13
1801396312 Huggyse Armand Counselor 2630 W Broward Blvd Ste 203-702, Fort Lauderdale, FL 33312-1314 2018-02-20
1669927653 Imani Ariel Williams-ephriam Counselor 1810 E Oakland Park Blvd Apt 12, Fort Lauderdale, FL 33306-1123 2016-08-18
1710382072 Melvina Jackson Davis Counselor 401 Sw 30th Ave, Fort Lauderdale, FL 33312-2012 2014-10-29
1699177535 Team Saving Our Youth, Inc. Counselor 1033 Nw 6th St, Suite 206-e, Fort Lauderdale, FL 33311-8125 2014-09-23
1548672314 Sonia Romero Counselor 2131 Ne 55th Ct, Fort Lauderdale, FL 33308-3111 2014-05-28
1790035905 Farile Erase Counselor 1925 S Perimeter Rd Suite #120, Fort Lauderdale, FL 33309 2012-09-14
1770713331 Michon Lubbers Counselor 14 Seneca Road, Fort Lauderdale, FL 33308 2009-07-16
1629165311 Michael George Foertsch Counselor 3300 Port Royale Dr N, Apartment 117, Fort Lauderdale, FL 33308-7919 2006-10-06
1366060253 Carol A. Parks Counselor 920 Nw 7th Ave, Fort Lauderdale, FL 33311-7229 2020-07-08
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Competitor

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City FORT LAUDERDALE
Zip Code 33301

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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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