Sandra Melany Martha, LCSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1184472946
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1184472946
- Entity type
- Individual (NPI-1)
- Name
- Sandra Melany Martha
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2024
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 120544 | CA | Yes |
| 1041S0200X | Social Worker, School | 250043002 | CA |
Practice location
3824 Pendiente Ct Apt 201San Diego, CA 92124-3709
Phone 619-207-6535
Mailing address
1600 Palm Ave Spc 95San Diego, CA 92154-1024
Phone 619-207-6535
Other practice locations
1600 Palm Ave Spc 95
San Diego, CA 92154-1024
San Diego, CA 92154-1024
Phone 619-207-6535
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