| Gwendolyn L Martin, LCSW | |
|
101 Elm Ave Se, Roanoke, VA 24013-2222 | |
| (540) 995-9948 | |
| (540) 985-9928 |
| Full Name | Gwendolyn L Martin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 101 Elm Ave Se, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215527122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012551 (Virginia) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendolyn L Martin, LCSW 213 S Jefferson St Ste 625, Roanoke, VA 24011-1713 Ph: (540) 224-5516 | Gwendolyn L Martin, LCSW 101 Elm Ave Se, Roanoke, VA 24013-2222 Ph: (540) 995-9948 |
Paula Therese Krueger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1345 Plantation Rd Ne, Roanoke, VA 24012 Phone: 833-510-4357 Fax: 866-460-2997 | |
Michelle Camardi, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5673 Airport Rd Nw, Roanoke, VA 24012 Phone: 540-523-8099 | |
Mrs. Melinda Otey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5335 Peters Creek Rd Nw, Suite 1, Roanoke, VA 24019 Phone: 540-344-9501 Fax: 540-344-7162 | |
Mrs. Susan H Witt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1115 1st St Sw, Roanoke, VA 24016 Phone: 540-343-0004 Fax: 540-343-1576 | |
Kathleen T. Bagby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4220 Cypress Park Dr, Suite B, Roanoke, VA 24018 Phone: 540-772-1872 Fax: 540-772-4830 | |
Reagan N Costello-white, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4734 Hickory Hill Dr, Roanoke, VA 24018 Phone: 214-995-0594 | |
Brandy Austin, LCSW, MSW, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1325 Jamison Ave Se, Roanoke, VA 24013 Phone: 540-339-7302 |