MS. ANGELA MARIA MARTIN (NPI# 1417018664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417018664 |
| Entity Type | Individual |
| Full Name | MS. ANGELA MARIA MARTIN |
| Credential | MSW, LCSW |
| Practice Address |
6021 Durand Avenue Suite 300 Racine WI 53406 |
| Mailing Address |
5930-5th Avenue Kenosha WI 53140 |
| Practice Telephone | 2625153220 |
| Mailing Telephone | 2625153220 |
| Mailing Fax Number | 2625540127 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6568-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183899 | Angela Lakersha Martin | Contractor | 2810 Cyclorama Dr, Cincinnati, OH 45211-8330 | 2020-10-28 |
| 1073126371 | Angela C Martin | Technician | 3952 Teaberry Rd, Ronceverte, WV 24970-1582 | 2020-08-26 |
| 1528683984 | Angela R. Martin | Counselor | 13521 Old Highway 280 Ste 149, Birmingham, AL 35242-1406 | 2020-06-11 |
| 1952883811 | Angela Martin | Social Worker | 235 Whitestick St, Mabscott, WV 25871 | 2018-09-06 |
| 1386122919 | Angela Lynn Martin | Registered Nurse | 6315 Central City Blvd Apt 117, Galveston, TX 77551-3803 | 2018-08-06 |
| 1639655483 | Angela Martin | Behavior Technician | 413 S Regester St, Baltimore, MD 21231-2426 | 2018-07-16 |
| 1932502853 | Angela Martin | Counselor | 3408 Falkner Dr, Naperville, IL 60564-5140 | 2014-10-06 |
| 1508279480 | Angela Martin | Specialist/Technologist | 305 Ne Loop 280 Business Tower 1, Suite 200, Hurst, TX 76053 | 2014-06-09 |
| 1760803613 | Angela Martin | Early Intervention Provider Agency | 530 Grand St Apt D2b, New York, NY 10002-4250 | 2013-12-19 |
| 1477974400 | Angela J. Martin | Massage Therapist | 1319 Ne 134th St Ste 103, Vancouver, WA 98685-2718 | 2013-12-17 |
| Street Address |
6021 DURAND AVENUE SUITE 300 |
| City | RACINE |
| State | WI |
| Zip Code | 53406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1962973479 | Karen Seif | Social Worker | 1818 Wisconsin Ave, Racine, WI 53403-2771 | 2018-12-10 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1538485834 | Marianne T. Jensen | Social Worker | 2310 N Main St, Racine, WI 53402-4450 | 2010-04-12 |
| 1992916910 | Karen Carnabucci | Social Worker | 932 Lake Ave, Lake House Health & Learning Center, Racine, WI 53403-1519 | 2007-05-24 |
| 1740496868 | Linda Marie Angel | Social Worker | 420 Seventh St, Racine, WI 53403-1222 | 2007-05-15 |
| 1962525683 | Thomas Karl Galten | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2007-04-09 |
| 1225191158 | Linda Susan Noer | Social Worker | 2219 Washington Ave, Racine, WI 53405-3551 | 2006-12-19 |
| 1023027414 | Kathleen Fenno Mcnulty | Social Worker | 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 | 2006-08-05 |
| 1457328643 | Elizabeth Hanson Will | Social Worker | 700 Villa Street, Racine, WI 53403 | 2006-03-07 |
| 1720087364 | Lauren Murphy Payne | Social Worker | 6021 Durand Ave, Suite 300, Racine, WI 53406-5096 | 2005-07-15 |
| Find all providers in RACINE | ||||
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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.