Kayla Martin, is a
Social Worker - Clinical based in Santa Rosa, California. Kayla Martin is licensed to practice in California (license number 120257) and her current practice location is
341 Irwin Ln, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 526-7218.
NPI number for Kayla Martin is 1114373347 and her current mailing address is 1705 Adobe Canyon Rd, Kenwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114373347.
Healthcare Provider's Profile
| Full Name | Kayla Martin |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 341 Irwin Ln, Santa Rosa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114373347
- Provider Enumeration Date: 05/06/2016
- Last Update Date: 07/18/2024
Medical Identifiers
Medical identifiers for Kayla Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114373347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 120257 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kayla Martin,
1705 Adobe Canyon Rd,
Kenwood, CA 95452-9059
Ph: () - | Kayla Martin,
341 Irwin Ln,
Santa Rosa, CA 95401-5603
Ph: (707) 526-7218 |
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