Judith a Martin L.C.S.W., P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2328 Issued in OR

Legal business name

JUDITH A MARTIN L.C.S.W., P.C.

Practice address

2385 NW Cabrillo CT
Roseburg, OR 97471-6041

Phone

(541) 957-9106

NPI assigned

Aug 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Judith A Martin, L.C.S.W.

Title

President

Phone

(541) 957-9106

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1255588455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 NW CABRILLO CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716041",
            "telephone_number": "541-957-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 NW CABRILLO CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716041",
            "telephone_number": "541-957-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A MARTIN L.C.S.W., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-957-9106",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven L Jorgensen, DO
• Surya Joseph
• Shashank Joshi, BDS, MS
• Joshua Fisher MD MPH MSC PC
• Rachel Suzanne Judd
• Jared E Juett, LCSW
• Tim Eugene Juett, P.T.
• Julee Richards MD PC
• Susan Ann Julian, M.S., CCC, SLP
• Misty Jungling

• Clinical Social Worker in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.