MEDICARE: MARTHA LAW LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1275182438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA LAW LCSW

Provider Business Mailing Address
First Line	:	807 FOX CHASE LN
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-3211
Country	:	US
Telephone Number	:	865-637-9711
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 BROAD ST
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37408-2910
Country	:	US
Telephone Number	:	865-356-3076
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2019
Last Update Date	:	12/11/2025

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Directions to “ MARTHA LAW LCSW” Practice Location

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