1952883811 NPI number — ANGELA MARTIN MSW, LCSW

Table of content: ANGELA MARTIN MSW, LCSW (NPI 1952883811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952883811 NPI number — ANGELA MARTIN MSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARTIN
Provider First Name:
ANGELA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952883811
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/14/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
197 PEBBLESTONE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BECKLEY
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25801-9524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-731-0925
Provider Business Mailing Address Fax Number:
304-254-8709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 WHITESTICK ST
Provider Second Line Business Practice Location Address:
PO BOX 46
Provider Business Practice Location Address City Name:
MABSCOTT
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25871-0046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-731-0925
Provider Business Practice Location Address Fax Number:
304-254-8719
Provider Enumeration Date:
09/06/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  CP00941029 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 104100000X , with the licence number: CP00941029 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CP00941029 . This is a "SOCIAL WORK LICENSE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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