Roberta Martin
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1083174627
StatusActive
Last updated in NPPESAug 11, 2023
Details
- NPI
- 1083174627
- Entity type
- Individual (NPI-1)
- Name
- Roberta Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2019
- Certification date
- Aug 11, 2023
- Last updated
- Aug 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1536 N Jefferson StJacksonville, FL 32209-6525
Phone 904-470-6900
Mailing address
355 E 46th StJacksonville, FL 32208-5482
Phone 904-610-3727
Other practice locations
355 E 46th St
Jacksonville, FL 32208-5482
Jacksonville, FL 32208-5482
Phone 904-610-3727
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