MS. CRYSTAL MARIE MARTIN (NPI# 1902157837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902157837 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL MARIE MARTIN |
| Credential | MA, LLPC |
| Practice Address |
25 S Monroe St Ste 205 Monroe MI 48161-2469 |
| Mailing Address |
15945 Canal Road Clinton Township MI 48035 |
| Practice Telephone | 7342403850 |
| Mailing Telephone | 5864162300 |
| Mailing Fax Number | 5864162311 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6401014693 | MI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6401014693 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | SA0580017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891225629 | Crystal Charlene Martin | Community Health Worker | Po Box 130, Dillingham, AK 99576-0130 | 2017-06-14 |
| 1669808630 | Crystal Janiece Martin | Registered Nurse | 353 Claymore Blvd, Richmond Heights, OH 44143 | 2013-09-22 |
| 1801059332 | Crystal Denise Martin | Family Medicine | 1401 Harrodsburg Rd Ste B160, Lexington, KY 40504-1726 | 2008-07-03 |
| 1396758793 | Crystal Martin | Dentist | 277 Clarkson Rd, Ste 100, Ellisville, MO 63011 | 2006-08-15 |
| 1396754313 | Crystal Martin | Chiropractor | 9144 Burnett Rd Se, Suite B1 and B2, Yelm, WA 98597-8488 | 2006-08-07 |
| 1497268288 | Crystal L Martin | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2017-11-15 |
| 1811408776 | Crystal Martin | Behavioral Analyst | 170 S Green Valley Pkwy, Henderson, NV 89012-3132 | 2017-10-18 |
| 1154831444 | Crystal Martin | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2017-10-02 |
| 1619332863 | Crystal Domynique Martin | Counselor | 2009 N Conway Ave, Mission, TX 78572-2965 | 2015-12-15 |
| 1346668258 | Crystal A Martin | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2014-03-29 |
| Street Address |
25 S MONROE ST STE 205 |
| City | MONROE |
| State | MI |
| Zip Code | 48161-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755483 | Lynne M Fogle | Social Worker | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2019-11-20 |
| 1215593579 | Andrea Lyn Tucker | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2019-05-13 |
| 1871075200 | Alan Gregory Sides | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2018-09-01 |
| 1346733227 | Ellen Renee Ivey | Social Worker | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2018-06-14 |
| 1720579253 | Jill Frederick | Social Worker | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2018-05-21 |
| 1649796988 | Colleen Mcknight | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
| 1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
| 1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
| 1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
| 1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
| 1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
| 1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
| 1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
| 1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
| Find all providers in zip 48161 | ||||
| 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 |
|---|---|---|---|---|
| 1801413406 | Tamara Blount | Social Worker | 351 E Village Dr, Monroe, NC 28112-8194 | 2020-06-30 |
| 1083246094 | Community Counseling Solutions | Social Worker | 2211 Redwood Dr, Monroe, LA 71201-3631 | 2020-02-07 |
| 1205470135 | Crystal Bradley | Social Worker | 24 Seals Dr, Monroe, NY 10950-3949 | 2019-11-04 |
| 1184270951 | Judy M Steverson | Social Worker | 1501 N Charlotte Ave Ste C214, Monroe, NC 28110-2525 | 2019-08-16 |
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1780101774 | Cara Bonwell-orr | Social Worker | 2242 W Roosevelt Blvd Ste G, Monroe, NC 28110-3071 | 2017-08-29 |
| 1982132718 | Support Throughout The Journey, LLC | Social Worker | 238 Monroe Tpke Unit B, Monroe, CT 06468-6200 | 2017-05-24 |
| 1124555818 | Jasmine Ashley Iannotti | Social Worker | 304 E Phifer St, Monroe, NC 28110-3039 | 2017-05-12 |
| Find all providers in MONROE | ||||
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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.