NPI 1063217156

Antwuan Donnell Martin

Practitioner Clinical Social Worker Land O Lakes, FL

Practice location

Address: 10975 Osprey Glade Ter, Land O Lakes, FL 34638-0405
Phone: (813) 777-0899
Mailing address: PO Box 1014, Land O Lakes, FL 34639-1014

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW24238 (FL)

Other Social Worker providers in Florida →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6281C (AL)

Registry record

NPI: 1063217156
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2025
Record last updated: 3 Sep 2025

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.