Martin, Rebecca Lynn
Martin, Rebecca Lynn is an sole proprietor health care provider with primary practice located at 8419 Sharon Mercer Rd Ste 3 , Mercer PA 16137-3169. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Rebecca Lynn can be contacted via phone (724) 856-0659.Contact Information
Primary practice address
8419 Sharon Mercer Rd Ste 3
Mercer PA 16137-3169
Phone: (724) 856-0659
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW018294 | Pennsylvania |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 58622 | Texas |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1100640 | Ohio |
Profile Details
| NPI number | 1811279391 |
|---|---|
| LBN Legal business name | Martin, Rebecca Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Sep 14th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811279391 | NPPES |
| Ohio | MEDICAID | 0210850 | |
| Ohio | MEDICAID | 1029617040013 |
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