Amy N Martin, LCSW
Individual provider Active NPI Clinical Social Worker · Rineyville, KY
NPI 1982954343 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1982954343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4073 (KY)
- Practice address
- 246 Cecil Dr
Rineyville, KY 40162-9615 - Phone
- (270) 250-5388
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4073 | KY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4073 | KY | Yes |
Addresses
Primary practice location
246 Cecil Dr
Rineyville, KY 40162-9615
Mailing address
246 Cecil Dr
Rineyville, KY 40162-9615
Other providers in Rineyville, KY
- Gerald Deom
- Jason David Gati
- Michelle Leigh Higdon
- Lori Roby Jarboe
- Amanda Josephine Lee Degner
- Heather Oldham
- PT Practices
- Ciara Taylor
All providers in Rineyville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. 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.