MARY THERESE MARTIN (NPI# 1578189734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578189734 |
| Entity Type | Individual |
| Full Name | MARY THERESE MARTIN |
| Practice Address |
3505 Village Dr Fayetteville NC 28304-4513 |
| Mailing Address |
6160 King Hiram Rd Hope Mills NC 28348-8376 |
| Practice Telephone | 9106153712 |
| Mailing Telephone | 9108502875 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P013266 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467012765 | Mary A. Martin | Registered Nurse | 311 Jacks Pl, Newport News, VA 23608-1292 | 2019-06-18 |
| 1477028298 | Mary Martin | Counselor | 8774 Yates Dr Ste 305c, Westminster, CO 80031-6971 | 2018-10-08 |
| 1467809590 | Mary Elizabeth Martin | Marriage & Family Therapist | 5222 Braddock Ave, N Charleston, SC 29405-4174 | 2016-05-18 |
| 1609220896 | Mary Martin | Counselor | 231 N 3rd Ave, Sandpoint, ID 83864-1423 | 2016-04-14 |
| 1386010007 | Mary Martin | Registered Nurse | 85 Old Huntsville Rd, Fayetteville, TN 37334-6013 | 2015-08-17 |
| 1114302254 | Mary Martin | Speech-Language Pathologist | 309 Spring Green Rd, Warwick, RI 02888-5311 | 2015-07-29 |
| 1316365745 | Mary Martin | Nurse Practitioner | 2625 Tamiami Trl Ste 5, Port Charlotte, FL 33952-6403 | 2014-04-02 |
| 1558786111 | Mary Martin | Case Manager/Care Coordinator | 810 Se Ave L, Idabel, OK 74745-7808 | 2014-02-19 |
| 1689967077 | Mary Ellen Martin | Veterinarian | 7624 New Utrecht Ave, Brooklyn, NY 11214-1022 | 2011-05-18 |
| 1578873865 | Mary J Martin | Counselor | 772 Sw Hibiscus St, Port St Lucie, FL 34983 | 2010-10-20 |
| Street Address |
3505 VILLAGE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186240 | Sylvester Unchenna Ejeh | Specialist | 3505 Village Dr, Fayetteville, NC 28304-4553 | 2006-08-03 |
| 1114527546 | Towania Caldwell | Counselor | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-10-26 |
| 1104423284 | Deandra Michelle Parker | Case Manager/Care Coordinator | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-10-02 |
| 1609482439 | Centerstone of Tennesse Inc. | Clinic/Center | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-09-17 |
| 1134747447 | Marfa Merlin Nicanor | Social Worker | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-07-13 |
| 1881164721 | Chanon Vanice Robinson | Social Worker | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2018-12-04 |
| 1083109995 | Valley Behavioral Health LLC | Psychiatry & Neurology | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2018-06-25 |
| 1114479839 | Kami Annette Perez | Counselor | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2016-10-28 |
| 1255636031 | Teresita Claret Ruoff | Physician Assistant | 3505 Village Dr, Fayetteville, NC 28304-4553 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1700484201 | Torrie Luciana Powell | Social Worker | 3526 Standard Dr, Fayetteville, NC 28306-8089 | 2020-10-15 |
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1861004996 | Roderick Eugene Brown Jr. | Social Worker | 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 | 2020-08-19 |
| 1427667278 | Valerie Russell | Social Worker | 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 | 2020-07-28 |
| 1942822671 | Alexis Oneal Vestal | Social Worker | 723 Athens Ave, Fayetteville, NC 28301-4800 | 2020-05-15 |
| 1346862281 | Heather Marie Sroka | Social Worker | 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 | 2020-05-14 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1982239877 | Alicia Story | Social Worker | 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 | 2020-03-11 |
| 1053959619 | Benlyd Colon | Social Worker | 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 | 2019-12-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.