MR. CHARLES HAROLD MARTIN (NPI# 1457674368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457674368 |
| Entity Type | Individual |
| Full Name | MR. CHARLES HAROLD MARTIN |
| Credential | LCSW-BACS |
| Practice Address |
4739 Hwy 10 Jackson LA 70748 |
| Practice Telephone | 2256340094 |
| Practice Fax Number | 2256340094 |
| Mailing Telephone | 2256340094 |
| Mailing Fax Number | 2256340094 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4250 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640053 | Charles Brent Martin | Behavioral Analyst | 203 Forest Park Cir, Suite E, Panama City, FL 32405-4916 | 2015-09-28 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1962848200 | Charles Dee Martin | Student in an Organized Health Care Education/Training Program | Family Medicine Residency Nh Pensacola, 6000 W. Hwy 98, Pensacola, FL 32512-0001 | 2013-05-14 |
| 1073866117 | Charles Steven Martin II | Recreation Therapist | 200 Pineridge Ln, Charlottesville, VA 22911-9124 | 2012-10-25 |
| 1972719656 | Charles W Martin | Dentist | 11201 W Huguenot Rd, Richmond, VA 23235-3334 | 2007-05-16 |
| 1073647616 | Charles Matthew Martin | Pharmacist | 4014 Dutchmans Ln, Louisville, KY 40207-4715 | 2007-03-15 |
| 1922198167 | Charles Martin | Dentist | 2842 Boyer St, Charlotte, NC 28208-0702 | 2006-10-16 |
| 1487755567 | Charles Richardson Martin | Pediatrics | 2 Dewitt St, Jacksonville, NC 28540-5649 | 2006-09-25 |
| 1801805866 | Charles Jonathan Martin | Chiropractor | 142 Carmelito Ave, Monterey, CA 93940-4521 | 2006-08-07 |
| 1134169097 | Charles C Martin | Physical Therapist | 12770 South Fwy, Suite 144, Burleson, TX 76028-8447 | 2006-06-08 |
| Street Address |
4739 HWY 10 |
| City | JACKSON |
| State | LA |
| Zip Code | 70748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114380979 | Natashia Folse | Counselor | 3365 Market St., Jackson, LA 70748 | 2016-03-30 |
| 1497966576 | Dahn Savell | Social Worker | 4502 Hwy. 10, Jackson, LA 70748 | 2007-05-24 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1043337538 | Gregory J Dolese | Pharmacist | 4052 Hwy 951, 200 Building, Jackson, LA 70748 | 2007-03-22 |
| 1609914902 | Waylon Morris Parker | Pediatrics | 5002 Highway 10, Villa Feliciana Medical Complex, Jackson, LA 70748 | 2007-02-01 |
| 1952453854 | Marcelita A Bermudez | Psychiatry & Neurology | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-18 |
| 1639228174 | Villa Feliciana Medical Complex | Long Term Care Hospital | 5002 Hwy 10, Jackson, LA 70748 | 2007-01-10 |
| 1457420879 | Feliciana Consultants, Inc. | Home Health | 3613 College Street, Jackson, LA 70748 | 2006-11-07 |
| 1073539300 | Patrick G Mccrossen | Dentist | 4502 Louisiana Hwy 951, Jackson, LA 70748 | 2006-07-13 |
| 1952808628 | Latasha Dinyel Shavers | Nurse Practitioner | 4502 Hwy 951, Jackson, LA 70748 | 2018-04-10 |
| Find all providers in zip 70748 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.