MS. EVELINA CAROL MARTIN


Address: 6630 Quaker Ave Ste 102, Dialysis Center of Lubbock, Lubbock, TX 79413-5939
Phone: 8067931414

MS. EVELINA CAROL MARTIN (NPI# 1578660361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578660361
Entity Type Individual
Full Name MS. EVELINA CAROL MARTIN
Credential LCSW
Practice Address 6630 Quaker Ave Ste 102
Dialysis Center of Lubbock
Lubbock
TX 79413-5939
Mailing Address 5118 46th St
Lubbock
TX 79414-3232
Practice Telephone 8067931414
Practice Fax Number 8067930932
Mailing Telephone 8064702841
Mailing Fax Number 8067930932
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW 25334 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX LICENSED CLNICAL SOCIAL W SW 25334 01

Office Location

Street Address 6630 QUAKER AVE STE 102
DIALYSIS CENTER OF LUBBOCK
City LUBBOCK
State TX
Zip Code 79413-5939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497867378 Bio-medical Applications of Texas, Inc. Clinic/Center 6630 Quaker Ave Ste 102, Lubbock, TX 79413-5939 2006-08-31

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NPI Name Taxonomy Address Enumeration
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1003357518 Emmy Lu Henley Dietitian, Registered 6520 University Ave, Suite 5, Lubbock, TX 79413 2017-03-16
1730635129 Katy Rebecca-franklin Poff Dietitian, Registered 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 2016-08-26
1982074340 Katricia Collins Speech-Language Pathologist 3403 40th St, Lubbock, TX 79413 2015-09-29
1750771937 Caprock Compounding Pharmacy Inc. Pharmacy 3007 50th Street, Lubbock, TX 79413 2015-01-27
1083010250 Max Manley Counselor 3312 38th St., Lubbock, TX 79413 2014-11-14
1124326566 Melissa Mccauley Midwife 3609 38th Street, Lubbock, TX 79413 2011-03-09
1619138880 Myles Freeman Sadler Dentist 3315 - 64th Street, Lubbock, TX 79413 2008-06-20
1316121320 Michael Daniel Gomez Psychologist 6610 Quaker Ave, Lubbock, TX 79413 2007-12-27
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568938686 Sara Ann Moody Harper Social Worker 3112 40th St, Lubbock, TX 79413-2724 2018-10-16
1417438540 Anne Wesley Jones Social Worker 8212 Ithaca Ave Ste E6c, Lubbock, TX 79423-2633 2018-08-27
1689196081 Nicole Lee Hernandez Social Worker 5214 Marsha Sharp Fwy, Lubbock, TX 79407-3524 2017-07-07
1942731286 Amanda Gore Social Worker 5719 88th St, Lubbock, TX 79424-4504 2017-03-27
1144580283 Helen Crossland Social Worker 2028 82nd St Unit 101, Lubbock, TX 79423-2392 2012-05-23
1053606129 Wenona Yvonna Andress Social Worker 3403 73rd St, Ste 7, Lubbock, TX 79423-1101 2011-06-16
1144553280 Margaret Tam Cheng Social Worker 4914 60th St, Lubbock, TX 79414-4404 2009-09-08
1801076716 Nancy Hart Hernandez Social Worker 1716 27th St, Lubbock, TX 79411-1502 2007-11-07
1942418843 Juli Ann Springer Social Worker 3417 56th St, Lubbock, TX 79413-4745 2007-05-21
1568688810 Anthony J Leiker Social Worker 8202 Bangor Ave, Lubbock, TX 79424-3425 2007-04-17
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79413

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Dataset Information

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.

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