Active NPIIndividual provider

Kaitlyn S Martin, LICSW

Social Worker, Clinical in Wilbraham, Massachusetts

NPI Number1811676851
Practice location
20 Blacksmith RD, Wilbraham, MA 01095-1312
Fax
—
Last updated
July 17, 2023

Kaitlyn Sullivan Martin is a Social Worker, Clinical based in Wilbraham, MA. Kaitlyn Sullivan Martin practices in Wilbraham, MA and has the professional credentials of LICSW. The NPI Number for Kaitlyn Sullivan Martin is 1811676851 and holds a License No. 126248 (MA). The current practice location address for Kaitlyn Sullivan Martin is 20 Blacksmith RD, Wilbraham, MA 01095-1312 and can be reached out via phone at 413-244-5781.

Provider Profile Details

NPI Number
1811676851
Provider Name
Kaitlyn Sullivan Martin
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
20 Blacksmith RD, Wilbraham, MA 01095-1312
Phone Number
413-244-5781
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Kaitlyn Sullivan (Former Name)
Provider Enumeration Date
July 17, 2023
Last Update Date
July 17, 2023
Certification Date
July 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Blacksmith RD
Wilbraham, MA 01095-1312
Zip
01095-1312
Phone Number
413-244-5781
Wilbraham, MA 01095Get directions →

Provider Business Mailing Address Details

Address
20 Blacksmith RD
Wilbraham, MA 01095-1312
City
Wilbraham
State
MA
Zip
01095-1312
Phone Number
413-244-5781

License Information

License Number
126248
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 Kaitlyn S Martin, LICSW?

The NPI number of Kaitlyn S Martin, LICSW is 1811676851. It was assigned on July 17, 2023 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn S Martin, LICSW?

Kaitlyn S Martin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 126248.

Where does Kaitlyn S Martin, LICSW practice?

The practice location is 20 Blacksmith RD, Wilbraham, MA 01095-1312. The office can be reached at 413-244-5781 (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 1811676851 directly on the NPPES registry website.

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