NPI 1003027046

Keith Stanley Martin, LCSW

Practitioner Clinical Social Worker Madera, CA

Practice location

Address: 9300 Valley Childrens Pl, Madera, CA 93638-8761
Phone: (558) 353-3000
Fax: (559) 353-5838
Mailing address: 4507 W. Berkeley Avenue, Fresno, CA 93722

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCS 15670 (CA)

Other Social Worker providers in California →

Registry record

NPI: 1003027046
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.