Carol Anne Martin, MSW-ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14765 Issued in CA

Practice address

6160 Mission Gorge Rd
120
San Diego, CA 92120-3410

Phone

(619) 283-5731

Fax

(619) 283-1877

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1841301348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 12TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322930",
            "telephone_number": "619-423-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD",
            "address_2": "120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203410",
            "telephone_number": "619-283-5731",
            "fax_number": "619-283-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW-ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "14765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Elaine Martin, M.D.
• Bianca Martin
• Brett Ryan Martin, MFT
• Callista Boettcher Martin, MD
• Cara Martin, PT
• Cassandra Martin
• Catherine Ein Martin
• Christa Elaine Martin
• Clarence Martin Sr.
• Connie Martin, MA

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.