Active NPIIndividual providerSole proprietor

Tiffany L Martin, LICSW

Social Worker, Clinical in Pascoag, Rhode Island

NPI Number1467226332
Practice location
2090 Wallum Lake RD, Pascoag, RI 02859-1813
Fax
—
Last updated
November 13, 2023

Tiffany L Martin is a Social Worker, Clinical based in Pascoag, RI. Tiffany L Martin practices in Pascoag, RI and has the professional credentials of LICSW. The NPI Number for Tiffany L Martin is 1467226332 and holds a License No. ISW03955 (RI). The current practice location address for Tiffany L Martin is 2090 Wallum Lake RD, Pascoag, RI 02859-1813 and can be reached out via phone at 401-338-2741.

Provider Profile Details

NPI Number
1467226332
Provider Name
Tiffany L Martin
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2090 Wallum Lake RD, Pascoag, RI 02859-1813
Phone Number
401-338-2741
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2023
Last Update Date
November 13, 2023
Certification Date
November 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2090 Wallum Lake RD
Pascoag, RI 02859-1813
Zip
02859-1813
Phone Number
401-338-2741
Pascoag, RI 02859Get directions →

Provider Business Mailing Address Details

Address
2090 Wallum Lake RD
Pascoag, RI 02859-1813
City
Pascoag
State
RI
Zip
02859-1813
Phone Number
401-338-2741

License Information

License Number
ISW03955
License State
RI
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 Tiffany L Martin, LICSW?

The NPI number of Tiffany L Martin, LICSW is 1467226332. It was assigned on November 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Tiffany L Martin, LICSW?

Tiffany L Martin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW03955.

Where does Tiffany L Martin, LICSW practice?

The practice location is 2090 Wallum Lake RD, Pascoag, RI 02859-1813. The office can be reached at 401-338-2741 (phone).

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 1467226332 directly on the NPPES registry website.

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