Martin, Robert

Martin, Robert is an individual health care provider with primary practice located at 4906 Radford Ave , Richmond VA 23230-3512. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Martin, Robert can be contacted via phone (804) 354-1996.

Contact Information

Primary practice address
4906 Radford Ave Richmond VA 23230-3512
Phone: (804) 354-1996
Fax: (804) 354-5516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000721 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002765 Virginia

Profile Details

NPI number 1518401504
LBN Legal business name Martin, Robert
Credentials LCSW CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2016
Last updated Dec 9th, 2016 - about 10 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 1518401504 NPPES
Virginia Other 13939610 CAQH

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