Active NPIIndividual provider

Ebony Martin, CRSW

Peer Specialist in Manchester, New Hampshire

NPI Number1881170652
Practice location
2 Wall St, Manchester, NH 03101-1518
Fax
603-628-7757
Last updated
April 21, 2025

Ebony Martin is a Peer Specialist based in Manchester, NH. Ebony Martin practices in Manchester, NH and has the professional credentials of CRSW. The NPI Number for Ebony Martin is 1881170652. The current practice location address for Ebony Martin is 2 Wall St, Manchester, NH 03101-1518 and can be reached out via phone at 603-668-4111 and via fax at 603-628-7757.

Provider Profile Details

NPI Number
1881170652
Provider Name
Ebony Martin
Credential
CRSW
Provider Entity Type
Individual
Gender
Female
Address
2 Wall St, Manchester, NH 03101-1518
Phone Number
603-668-4111
Fax Number
603-628-7757
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Other Names
Ebony Sullivan (Former Name)
Provider Enumeration Date
July 16, 2018
Last Update Date
April 21, 2025
Certification Date
April 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Wall St
Manchester, NH 03101-1518
Zip
03101-1518
Phone Number
603-668-4111
Fax Number
603-628-7757
Manchester, NH 03101Get directions →

Provider Business Mailing Address Details

Address
2 Wall St Ste 200
Manchester, NH 03101-1518
City
Manchester
State
NH
Zip
03101-1518
Phone Number
603-668-4111
Fax Number
603-628-7757

License Information

Taxonomy
Peer Specialist · 175T00000X · 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 Ebony Martin, CRSW?

The NPI number of Ebony Martin, CRSW is 1881170652. It was assigned on July 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Ebony Martin, CRSW?

Ebony Martin, CRSW is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Ebony Martin, CRSW practice?

The practice location is 2 Wall St, Manchester, NH 03101-1518. The office can be reached at 603-668-4111 (phone) or 603-628-7757 (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 1881170652 directly on the NPPES registry website.

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