Martin, Tracy L

Martin, Tracy L is an individual health care provider with primary practice located at 108 Ensminger Dr Ste A , Glasgow KY 42141-1157. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Tracy L can be contacted via phone (270) 659-0035.

Contact Information

Primary practice address
108 Ensminger Dr Ste A Glasgow KY 42141-1157
Fax: (270) 629-4880
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 254543 Kentucky

Profile Details

NPI number 1851937908
LBN Legal business name Martin, Tracy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Sep 29th, 2021 - about 3 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

Identifiers

StateTypeNumberIssuer
All States NPI 1851937908 NPPES
Kentucky MEDICAID 1851937908

Popular Providers