MARTINA JANE NELSON (NPI# 1922015536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922015536 |
| Entity Type | Individual |
| Full Name | MARTINA JANE NELSON |
| Other Name | MARTINA JANE BOOTHMAN |
| Credential | LCSW, LAC,CMHP |
| Practice Address |
603 California Ave Libby MT 59923-1901 |
| Mailing Address |
603 California Avenue Libby MT 59923 |
| Practice Telephone | 4062937116 |
| Practice Fax Number | 4062938119 |
| Mailing Telephone | 4062937116 |
| Mailing Fax Number | 4062938119 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
954 | MT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
799 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0044707 | 05 |
| Street Address |
603 CALIFORNIA AVE |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| 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 |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1326366527 | Martha A. Finley | Social Worker | 34169 Us Highway 2, Libby, MT 59923-8430 | 2010-05-12 |
| 1629245980 | Randy Lee Guinard | Social Worker | 703 California Ave, Libby, MT 59923-1903 | 2008-05-14 |
| 1104016245 | Mary Karen Caraway | Social Worker | 101 Ski Rd, Libby, MT 59923-2843 | 2007-07-25 |
| 1972510105 | Cindy L. Jensen | Social Worker | 803 Louisiana Ave, Libby, MT 59923-2107 | 2006-08-01 |
| 1376585737 | Ann Brownback | Social Worker | 415 Louisiana Ave, Libby, MT 59923-2131 | 2006-06-11 |
| 1194717546 | Leslie Marie Sterling | Social Worker | 421 Montana Ave, Libby, MT 59923-2039 | 2005-08-19 |
| 1952886145 | Elaine Rene Maggi | Social Worker | 350 Louisiana Ave, Libby, MT 59923-2130 | 2018-10-03 |
| 1215477013 | Jennifer Andersen | Social Worker | 320 E 2nd St, Libby, MT 59923-2010 | 2017-02-28 |
| 1083081624 | Linda Marie Jensen | Social Worker | 101 Ski Rd, Libby, MT 59923-2843 | 2015-08-31 |
| Find all providers in LIBBY | ||||
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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.