Martin, Sara Richelle
Martin, Sara Richelle is an individual health care provider with primary practice located at 12145 Elm St , Princess Anne MD 21853-1358. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Sara Richelle can be contacted via phone (410) 651-2204.Contact Information
Primary practice address
12145 Elm St
Princess Anne MD 21853-1358
Phone: (410) 651-2204
Fax: (410) 651-0790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13025 | Maryland |
Profile Details
| NPI number | 1275518698 |
|---|---|
| LBN Legal business name | Martin, Sara Richelle |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Apr 5th, 2013 - about 11 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 | 1275518698 | NPPES |
| Maryland | MEDICAID | 119591300 |
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