Nicole Leah Martin, LCSW | |
25 Choctaw Trce, Cherokee Village, AR 72529-2702 | |
(870) 972-4939 | |
(870) 972-4911 |
Full Name | Nicole Leah Martin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 25 Choctaw Trce, Cherokee Village, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164908778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Arisa Health Inc |
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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 |
---|---|
Nicole Leah Martin, LCSW 2707 Browns Ln, Jonesboro, AR 72401-7213 Ph: (870) 972-4939 | Nicole Leah Martin, LCSW 25 Choctaw Trce, Cherokee Village, AR 72529-2702 Ph: (870) 972-4939 |
Mrs. Kathleen Ann Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 East Cherokee Village Mall, Cherokee Village, AR 72525 Phone: 870-257-3336 Fax: 870-257-3339 | |
Ms. Sarah C Schlesinger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: # 4 E Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-257-3336 Fax: 870-257-3339 |