MEDICARE: MARTHA ANDRADE MCLEMORE 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	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker	29339	CA
3	1041S0200X	School Social Worker	210170821	CA

General Provider Information

NPI Number	:	1013143866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ANDRADE MCLEMORE LCSW

Provider Business Mailing Address
First Line	:	290 EAST AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1122
Country	:	US
Telephone Number	:	530-514-7044
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 EAST AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1122
Country	:	US
Telephone Number	:	530-514-7044
Fax Number	:

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

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	09/19/2025

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