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NPI Code Detail

MEDICARE: YASMINE TOWNSLEY MARTINEZ LCSW

MEDICARE: YASMINE TOWNSLEY MARTINEZ 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1467120071
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMINE TOWNSLEY MARTINEZ LCSW
Provider Business Mailing Address
First Line : 701 S FUTURE ST
Second Line :
City : MARION
State : IL
Zip : 62959-3547
Country : US
Telephone Number : 270-752-0042
Fax Number :
Provider Business Practice Location Address
First Line : 2401 W MAIN ST
Second Line :
City : MARION
State : IL
Zip : 62959-1188
Country : US
Telephone Number : 618-997-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 06/17/2026

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