Martin, Andrea H

Martin, Andrea H is an sole proprietor health care provider with primary practice located at 221 Rue De Jean Ste 126A , Lafayette LA 70508-8501. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Andrea H can be contacted via phone (337) 345-1305.

Contact Information

Primary practice address
221 Rue De Jean Ste 126A Lafayette LA 70508-8501
Phone: (337) 345-1305
Fax: (337) 201-9315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5907 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5907 Louisiana
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1518203660
LBN Legal business name Martin, Andrea H
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2012
Last updated Apr 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518203660 NPPES
Other 14103912 CAQH
Other 5907 CAQH

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