| Erica Marie Martin, LCSW | |
|
780 Wild Hawk Dr, Sparks, NV 89436-5656 | |
| (801) 888-3188 | |
| Not Available |
| Full Name | Erica Marie Martin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 780 Wild Hawk Dr, Sparks, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245573559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8233921-3501 (Utah) | Primary |
| Entity Name | Beacon Therapy Of Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265149637 PECOS PAC ID: 3577917178 Enrollment ID: O20231002000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Marie Martin, LCSW 780 Wild Hawk Dr, Sparks, NV 89436-5656 Ph: (801) 888-3188 | Erica Marie Martin, LCSW 780 Wild Hawk Dr, Sparks, NV 89436-5656 Ph: (801) 888-3188 |
Ms. Angela Michelle Charter, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2290 Matteoni Dr, Sparks, NV 89434 Phone: 775-338-3786 | |
Allie Nicole Metoyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1034 Floral Ridge Way, Sparks, NV 89436 Phone: 775-313-5353 | |
Shelly Bryant, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Galletti Way, Sparks, NV 89431 Phone: 775-688-1900 | |
Marcia Kay Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1467 Shady Oak Dr, Sparks, NV 89434 Phone: 775-689-0220 | |
Helen Ruth Going, LCSW-I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 860 Tyler Way, Sparks, NV 89431 Phone: 775-356-0371 | |
Mrs. Ivette Hunter, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 480 Galletti Way, Sparks, NV 89431 Phone: 775-688-3357 | |
Denise M Bradshaw, PACT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 480 Galletti Way, Sparks, NV 89431 Phone: 775-688-2101 Fax: 775-688-2004 |