JESSICA LEIGH MARTIN (NPI# 1801394325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801394325 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH MARTIN |
| Other Name | JESSICA LEIGH CRUZAN |
| Practice Address |
603 N Main St Mount Vernon MO 65712-1074 |
| Mailing Address |
Po Box 568 Mount Vernon MO 65712-0568 |
| Practice Telephone | 4174667844 |
| Practice Fax Number | 4174662625 |
| Mailing Telephone | 4174667844 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2016034444 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1316570781 | Jessica Martin | Physical Therapist | 29811 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688-3612 | 2020-02-13 |
| 1841836541 | Jessica Nichole Martin | Peer Specialist | 320 S Hill St, Mooreland, OK 73852-9015 | 2019-11-18 |
| 1760045363 | Jessica Martin | Non-emergency Medical Transport (VAN) | 23342 Briarcreek Blvd, Spring, TX 77373-6279 | 2019-04-18 |
| 1457876187 | Jessica Martin | Specialist | 4429 Lake Ave, Lockport, NY 14094-1198 | 2017-08-03 |
| 1164871182 | Jessica Martin | Technician, Other | 28304 Pierce St, Southfield, MI 48076-7312 | 2016-06-09 |
| 1922453968 | Jessica Lacy Martin | Nurse Practitioner | 6140 6th St, Chesapeake Beach, MD 20732-4156 | 2016-04-27 |
| 1164894754 | Jessica E Martin | Counselor | 334 Hermitage Rd, Columbus, OH 43230-2862 | 2015-10-22 |
| 1033505136 | Jessica Leann Martin | Social Worker | 2305 Oid County Road, Pochahontas, AR 72455-4148 | 2015-04-15 |
| 1982007795 | Jessica Lynn Martin | Nurse Practitioner | 403 Ogletree Dr Ste 100, Livingston, TX 77351-9444 | 2014-10-07 |
| Street Address |
603 N MAIN ST |
| City | MOUNT VERNON |
| State | MO |
| Zip Code | 65712-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205371705 | Missouri Baptist Childrens Home | Residential Treatment Facility, Emotionally Disturbed Children | 603 N Main St, Mount Vernon, MO 65712-1074 | 2016-12-20 |
| 1285873364 | Danielle Koren Carver | Counselor | 603 N Main St, Mount Vernon, MO 65712-1074 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
| 1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
| 1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
| 1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
| 1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
| 1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
| 1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
| 1477567030 | Ricky Lavaughn Kime | Internal Medicine | 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 | 2006-07-28 |
| Find all providers in zip 65712 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845637 | Michelle Venegoni-vigil | Social Worker | 403c N 42nd St, Mount Vernon, IL 62864-2242 | 2020-06-10 |
| 1346861283 | Trudian Lyon | Social Worker | 6 Gramatan Ave Ste 409, Mount Vernon, NY 10550-3209 | 2020-05-01 |
| 1922647817 | Sabrina Myrie | Social Worker | 33 S High St Apt 3s, Mount Vernon, NY 10550-2447 | 2019-12-26 |
| 1902460702 | George Ako | Social Worker | 109 S 14th Ave, Mount Vernon, NY 10550-2811 | 2019-04-26 |
| 1528537099 | Carla Sue Donoho | Social Worker | 4243 Lincolnshire Dr, Mount Vernon, IL 62864-2157 | 2018-11-14 |
| 1255816443 | Kadyll Dawes | Social Worker | 48 Ellwood Ave, Mount Vernon, NY 10552-3404 | 2018-10-03 |
| 1215435821 | Ramona J Parker | Social Worker | 142 Brookside Ave, Mount Vernon, NY 10553-1304 | 2018-01-29 |
| 1285145581 | Krista Mckeethen | Social Worker | 309 N Sawmill St, Mount Vernon, IN 47620-2006 | 2017-10-13 |
| 1316472780 | Maria Angelica Walcott | Social Worker | 1005 S. 3rd Street, Mount Vernon, WA 98273 | 2017-04-24 |
| 1578945838 | Donna Maureen Pothemont | Social Worker | 141 E Lincoln Ave, Mount Vernon, NY 10552-3208 | 2015-06-23 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 65712 |
Please comment or provide details below to improve the information on JESSICA LEIGH MARTIN.
| 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.