Individual
MRS. BRENDA K MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
127 N GREEN ST, STATESVILLE, NC 28677-5375
(704) 873-7816
(704) 873-7817
Mailing address
127 N GREEN ST, STATESVILLE, NC 28677-5375
(704) 873-7816
(704) 873-7817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010X
BCBS
NC
01
—
1010X
BCBS
—
05
—
6002130
—
NC
01
—
P00426430
RAILROAD MEDICARE
—
Enumeration date
10/26/2006
Last updated
11/17/2017
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