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Individual

MARTHA T EARLY

Active
Find providers by NPI
Individual

MARTHA T EARLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS, CCS

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
732
NC
1041C0700X
Clinical Social Worker
Primary
0904003705
VA
1041C0700X
Clinical Social Worker
C002940
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972523561
VALUE OPTIONS
VA
05
—
1972523561
—
VA
01
—
2711554
CIGNA BEHAVIORAL HEALTH
VA
01
—
365403
ANTHEM BEHAVIORAL HEALTH (GHENT FAMILY MEDICINE)
VA
01
—
365405
ANTHEM BEHAVIORAL HEALTH (PORTSMOUTH FAMILY MEDICINE)
VA
01
—
600538-662
MAGELLAN HEALTH SERVICES
VA
01
—
PAR
MULTIPLAN
VA
Enumeration date
07/19/2006
Last updated
08/30/2012
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