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NPI Code Detail

MEDICARE: MARTIA WOODARD

MEDICARE: MARTIA WOODARD
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1245692342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIA WOODARD
Provider Business Mailing Address
First Line : 3018 OLD MINDEN RD STE 1117
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71112-2497
Country : US
Telephone Number : 318-777-7777
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number : 318-459-6795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2016
Last Update Date : 12/15/2022

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Directions to “ MARTIA WOODARD ” Practice Location

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