Rhonda Lynn Martin, LICSW

Individual provider Active NPI Clinical Social Worker · South Saint Paul, MN

NPI 1487943064 · NPPES record last updated Apr 4, 2011

Key facts

NPI
1487943064
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
18276 (MN)
Practice address
318 2ND St N
South Saint Paul, MN 55075-2014
Phone
(651) 455-6800
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
18276MNMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18276 MN Yes

Addresses

Primary practice location

318 2ND St N
South Saint Paul, MN 55075-2014

Mailing address

318 2ND St N
South Saint Paul, MN 55075-2014
Phone (651) 455-6800

Other providers in South Saint Paul, MN

All providers in South Saint Paul, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.