MICHAEL TIMOTHY MARTIN (NPI# 1376037416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376037416 |
| Entity Type | Individual |
| Full Name | MICHAEL TIMOTHY MARTIN |
| Credential | LCSWA, CSAT-C |
| Practice Address |
1816 Front St Durham NC 27705-2582 |
| Mailing Address |
173 Willow Ridge Dr Sanford NC 27332-6903 |
| Practice Telephone | 9193820288 |
| Mailing Telephone | 9197766318 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012603 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518927 | Michael Martin | Technician | 902 Woodlawn Ave, Beckley, WV 25801-6430 | 2020-11-06 |
| 1134779721 | Michael C Martin | Counselor | 28 Catherine Ave, Saddle Brook, NJ 07663-4806 | 2019-09-16 |
| 1043865025 | Michael Andrew Martin | Hearing Instrument Specialist | 1692 Stonegate Dr, Greenwood, IN 46142-5013 | 2019-08-06 |
| 1073006714 | Michael Martin Jr. | Counselor | 125 E Park Ave, Haddon Twp, NJ 08107-1034 | 2018-06-07 |
| 1811442783 | Michael Martin | Physical Therapist | 888 White Plains Rd Fl 2, 209, Trumbull, CT 06611-4552 | 2016-08-22 |
| 1710378112 | Michael Martin | Psychologist | 26005 E 107th St S, Broken Arrow, OK 74014-3944 | 2015-02-07 |
| 1184064032 | Michael Martin II | Behavior Technician | 1915 Aerotech Dr Ste 190, Colorado Springs, CO 80916-4213 | 2013-06-25 |
| 1912268384 | Michael Jack Martin | Marriage & Family Therapist | 358 Sea Ridge Rd Apt 1, Aptos, CA 95003-4356 | 2012-06-01 |
| 1386920858 | Michael E Martin | Chiropractor | 13060 Marlette Dr, La Mirada, CA 90638-1933 | 2011-10-28 |
| 1073897856 | Michael David Martin Jr. | Pharmacist | 5 Limited Pkwy E, Reynoldsburg, OH 43068-5300 | 2011-09-28 |
| Street Address |
1816 FRONT ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910984 | Tedra Cook | Social Worker | 313 Chestnut Oak Pl, Durham, NC 27704-5196 | 2020-10-21 |
| 1821695644 | Adam Tannenbaum | Social Worker | 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 | 2020-10-05 |
| 1831706373 | Elena Plocek | Social Worker | 2617 Farthing St, Durham, NC 27704-4203 | 2020-09-29 |
| 1225643323 | Aisha S Lewis | Social Worker | 79 Willow Bridge Dr, Durham, NC 27707-5457 | 2020-09-15 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1730791765 | Katrina P Martin | Social Worker | 2511 N Roxboro St, Durham, NC 27704-4347 | 2020-08-20 |
| 1194337758 | Ashley Esry | Social Worker | 1728 Euclid Rd, Durham, NC 27713-2415 | 2020-08-17 |
| 1265050124 | Amber Cox | Social Worker | 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 | 2020-07-08 |
| Find all providers in DURHAM | ||||
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| 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.