Martin, Michael Jack

Martin, Michael Jack is an individual health care provider with primary practice located at 4150 Clement St , San Francisco CA 94121-1545. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, Michael Jack can be contacted via phone (415) 221-4810.

Contact Information

Primary practice address
4150 Clement St San Francisco CA 94121-1545
Phone: (415) 221-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS20620 California

Profile Details

NPI number 1346282597
LBN Legal business name Martin, Michael Jack
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers