MS. KATHLEEN MARY MARTIN (NPI# 1477706349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477706349 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MARY MARTIN |
| Credential | LICENSED CLINICAL SO |
| Practice Address |
143 Ridgeway Dr Suite 207 Lafayette LA 70503 |
| Mailing Address |
208 Challenge St. Lafayette LA 70506-3425 |
| Practice Telephone | 3377396009 |
| Mailing Telephone | 3377396009 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8121 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229290 | Kathleen Martin | Behavioral Analyst | 21 Oxford Rd, White Plains, NY 10605-3607 | 2017-04-12 |
| 1336507904 | Kathleen Martin | Registered Nurse | 401 E Palmer St, Mount Pleasant, MI 48858-1547 | 2016-02-10 |
| 1023252277 | Kathleen Elaine Martin | Counselor | 211 S Norton Ave, Norton, KS 67654-2137 | 2009-04-30 |
| 1326201633 | Kathleen O'connor Martin | Physical Therapist | 30 Trellis Gate St, The Woodlands, TX 77382-5104 | 2008-07-07 |
| 1811184393 | Kathleen Nolan Martin | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2007-09-28 |
| 1689707473 | Kathleen Logan Martin | Occupational Therapy Assistant | 2841 Trotters Ln, Midlothian, VA 23113-4834 | 2007-03-13 |
| 1073649224 | Kathleen Anne Martin | Speech-Language Pathologist | 2652 S Wallis Smith Blvd, Springfield, MO 65804-3864 | 2007-02-24 |
| 1609910215 | Kathleen M Martin | Dental Hygienist | 389 Congress St, Portland, ME 04101-3509 | 2007-02-16 |
| 1467559781 | Kathleen Elizabeth Martin | Social Worker | 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 | 2006-09-20 |
| 1356300024 | Kathleen Martin | Registered Nurse | 211 Nautilus Dr, Apt. #4, Madison, WI 53705-4358 | 2006-03-21 |
| Street Address |
143 RIDGEWAY DR SUITE 207 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558334508 | Linda Christian | Social Worker | 143 Ridgeway Dr, Suite 208, Lafayette, LA 70503-3414 | 2006-02-09 |
| 1619493798 | Haley Nicole Bordelon | Massage Therapist | 143 Ridgeway Dr, Lafayette, LA 70503-3414 | 2017-08-21 |
| 1104353069 | Rebekah Dial Daugereaux | Counselor | 143 Ridgeway Dr, Lafayette, LA 70503-3414 | 2017-05-22 |
| 1558893594 | The Wellness Center of Acadiana, LLC | Counselor | 143 Ridgeway Dr, Suite 307, Lafayette, LA 70503-3414 | 2017-03-29 |
| 1467983213 | Southdown Consulting LLC | Social Worker | 143 Ridgeway Dr, #219, Lafayette, LA 70503-3414 | 2017-03-23 |
| 1295147114 | Rachel Geiger | Counselor | 143 Ridgeway Dr, Ste 310, Lafayette, LA 70503-3414 | 2014-05-27 |
| 1053721498 | Jules Arceneaux II | Counselor | 143 Ridgeway Dr, Suite 225, Lafayette, LA 70503-3414 | 2014-05-07 |
| 1952732901 | Elizabeth Prather | Social Worker | 143 Ridgeway Dr, Suite 314, Lafayette, LA 70503-3414 | 2013-12-02 |
| 1366879900 | Hollie Biersmith French | Counselor | 143 Ridgeway Dr, Suite 313, Lafayette, LA 70503-3414 | 2013-09-27 |
| 1245670918 | Chad Franks | Counselor | 143 Ridgeway Dr, Suite 217, Lafayette, LA 70503-3414 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| 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 |
|---|---|---|---|---|
| 1508479874 | Lisa Cannon Counseling, LLC | Social Worker | 534 S 9th St, Lafayette, IN 47901-1727 | 2020-08-26 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| 1104464197 | Rebecca Oyer, Msw, Lcsw, Sep, LLC | Social Worker | 143 Ridgeway Dr Ste 101, Lafayette, LA 70503-3410 | 2019-12-20 |
| 1740827104 | Melissa T Vidrine | Social Worker | 345 Doucet Rd Ste 226, Lafayette, LA 70503-3490 | 2019-12-04 |
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1871141663 | Jayme Liles | Social Worker | 200 Claymore Dr, Lafayette, LA 70503-3834 | 2019-08-27 |
| 1821650987 | Kathryn Dietzway | Social Worker | 345 Doucet Rd Ste 217, Lafayette, LA 70503-3488 | 2019-06-28 |
| 1861952210 | Laura Willenborg Counseling LLC | Social Worker | 1000 Sagamore Pkwy N Ste 207, Lafayette, IN 47904-2474 | 2019-03-21 |
| Find all providers in LAFAYETTE | ||||
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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.