Martina Axelson, I.1303383 – Clinical Social Worker

Key facts

NPI: 1366979726
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 1303383 (OH)
Practice address: 253 S Canfield Niles Rd Ste a
Austintown, OH 44515-4082
Phone: (330) 797-8800
NPI assigned: May 16, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Allied Behavioral Health Services, Incorporated Community/Behavioral Health Agency · Fairview Park, OH · NPI 1942637491

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1303383	OH	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Allied Behavioral Health Services, Incorporated		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	1303383	OH	Yes

Addresses

Primary practice location

253 S Canfield Niles Rd Ste a
Austintown, OH 44515-4082

Mailing address

7062 Youngstown Salem Rd
Canfield, OH 44406-9433
Phone (330) 509-8502

Other providers in Austintown, OH

All providers in Austintown, OH · Clinical Social Worker in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.