| Daniel Phillip Martin, | |
|
91 W Colt Square Dr Ste 4, Fayetteville, AR 72703-2846 | |
| (479) 629-5519 | |
| Not Available |
| Full Name | Daniel Phillip Martin |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 91 W Colt Square Dr Ste 4, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245843838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10158-C (Arkansas) | Primary |
| 104100000X | Social Worker | 10158M (Arkansas) | Secondary |
| Entity Name | Ozark Guidance Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
| Entity Name | Arisa Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Phillip Martin, 91 W Colt Square Dr Ste 4, Fayetteville, AR 72703-2846 Ph: (479) 629-5519 | Daniel Phillip Martin, 91 W Colt Square Dr Ste 4, Fayetteville, AR 72703-2846 Ph: (479) 629-5519 |
Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575 | |
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033 | |
Heather Leann Zimmerman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1384 S Splash Dr, Fayetteville, AR 72701 Phone: 501-764-8757 | |
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967 | |
Carla E Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703 | |
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633 | |
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565 |