Active NPIIndividual provider

Mr. Richard W Martin, LICSW

Social Worker, Clinical in Southborough, Massachusetts

NPI Number1417229667
Practice location
33 Turnpike RD, Southborough, MA 01772-2108
Fax
508-485-3421
Last updated
February 3, 2012

Richard William Martin is a Social Worker, Clinical based in Southborough, MA. Richard William Martin practices in Southborough, MA and has the professional credentials of LICSW. The NPI Number for Richard William Martin is 1417229667 and holds a License No. 106343 (MA). The current practice location address for Richard William Martin is 33 Turnpike RD, Southborough, MA 01772-2108 and can be reached out via phone at 508-481-1015 and via fax at 508-485-3421.

Provider Profile Details

NPI Number
1417229667
Provider Name
Richard William Martin
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
33 Turnpike RD, Southborough, MA 01772-2108
Phone Number
508-481-1015
Fax Number
508-485-3421
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 3, 2012
Last Update Date
February 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Turnpike RD
Southborough, MA 01772-2108
Zip
01772-2108
Phone Number
508-481-1015
Fax Number
508-485-3421
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
33 Turnpike RD
Southborough, MA 01772-2108
City
Southborough
State
MA
Zip
01772-2108
Phone Number
508-481-1015
Fax Number
508-485-3421

License Information

License Number
106343
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Richard W Martin, LICSW?

The NPI number of Mr. Richard W Martin, LICSW is 1417229667. It was assigned on February 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Richard W Martin, LICSW?

Mr. Richard W Martin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 106343.

Where does Mr. Richard W Martin, LICSW practice?

The practice location is 33 Turnpike RD, Southborough, MA 01772-2108. The office can be reached at 508-481-1015 (phone) or 508-485-3421 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417229667 directly on the NPPES registry website.

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