MEDICARE: CASSANDRA MARTIN

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	1041C0700X	Clinical Social Worker	6801116382	MI

General Provider Information

NPI Number	:	1710609946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA MARTIN

Provider Business Mailing Address
First Line	:	2838 AUTOMOTIVE CTR
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-1220
Country	:	US
Telephone Number	:	989-790-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5020 RUSSELL ST
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-7235
Country	:	US
Telephone Number	:	989-890-7042
Fax Number	:

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

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	03/23/2026

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Directions to “ CASSANDRA MARTIN ” Practice Location

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