DANIEL MARTIN (NPI# 1598789885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598789885 |
| Entity Type | Individual |
| Full Name | DANIEL MARTIN |
| Credential | LSW |
| Practice Address |
3010 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473778077 |
| Practice Fax Number | 8479845682 |
| Mailing Telephone | 8473778077 |
| Mailing Fax Number | 8479845682 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149005797 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 150004223 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198750 | Daniel Martin | Physical Therapy Assistant | 5535 S Williamson Blvd Ste 700, Port Orange, FL 32128-8321 | 2020-03-07 |
| 1477115160 | Daniel Martin | Occupational Therapist | 900 N Ford Rd, Zionsville, IN 46077-1199 | 2019-07-02 |
| 1053804575 | Daniel James Martin | Psychologist | 19 Linwold Dr, West Hartford, CT 06107-1237 | 2018-06-09 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1902237795 | Daniel Martin | Veterinarian | 5610 Blanding Blvd, Jacksonville, FL 32244-1923 | 2013-12-05 |
| 1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
| 1013213354 | Daniel Keith Martin X | Behavioral Analyst | 11912 Amistoso Ln, Las Vegas, NV 89138-4532 | 2011-02-03 |
| 1063746493 | Daniel Martin | Physical Therapist | 3002 Ponteverde Ln, Davis, CA 95618-6528 | 2009-10-02 |
| 1790914166 | Daniel Edward Martin | Speech-Language Pathologist | 111 W Washington St Ste 903, Chicago, IL 60602 | 2009-07-07 |
| 1356555643 | Daniel John Martin | Counselor | 15 Greenfield Ln, Hampton, NY 12837-2106 | 2007-05-09 |
| Street Address |
3010 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528088895 | Georgette Bloom | Counselor | 3010 Grand Ave, Floor 1, Waukegan, IL 60085-2321 | 2006-07-20 |
| 1144837758 | Danielle Candelario | Pharmacist | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-28 |
| 1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
| 1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1558994228 | Alma Bertha Griffin | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-02-20 |
| 1427694413 | Shahzadhi Nyakhar | Community Health Worker | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-25 |
| 1184269623 | Jennifer Marie Winesburg | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-07 |
| 1225672157 | Tina Arnold | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-04 |
| 1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| 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 |
|---|---|---|---|---|
| 1790705051 | Lynn J. Hughes | Social Worker | 3010 Grand Avenue, Waukegan, IL 60085-2321 | 2006-07-20 |
| 1932128865 | William P Jackson | Social Worker | 3010 Grand Ave Fl 1, Waukegan, IL 60085-2321 | 2006-07-19 |
| 1699383968 | Brina Michele Diaz | Social Worker | 329 N Genesee St, Waukegan, IL 60085-4205 | 2020-07-22 |
| 1558904185 | Jasmin Rahman | Social Worker | 2323 Grand Ave, Waukegan, IL 60085-3312 | 2019-10-27 |
| 1497310262 | Shaquita D Brown | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2019-05-07 |
| 1043792823 | Kathryn Nixon Foster | Social Worker | 329 N Genesee St, Waukegan, IL 60085-4205 | 2018-08-29 |
| 1356840029 | Angela A Almendarez | Social Worker | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-07 |
| 1962912287 | John Lewis Rocha II | Social Worker | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2017-10-02 |
| 1699293563 | Geoffrey K Malone | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2017-08-31 |
| 1508382490 | Margaret Renee Millar | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085 | 2017-08-22 |
| Find all providers in WAUKEGAN | ||||
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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.