MEDICARE: MARTILA HOOKS

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	CSW008326	GA
2	1041C0700X	Clinical Social Worker	138276	CA
3	1041C0700X	Clinical Social Worker	C011319	NC
4	1041C0700X	Clinical Social Worker	011819	CT
5	1041C0700X	Clinical Social Worker	252619	AK

General Provider Information

NPI Number	:	1619500774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTILA HOOKS

Provider Business Mailing Address
First Line	:	307 PEARL MOSS LN
Second Line	:
City	:	KATHLEEN
State	:	GA
Zip	:	31047-2961
Country	:	US
Telephone Number	:	478-484-8968
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 PEARL MOSS LN
Second Line	:
City	:	KATHLEEN
State	:	GA
Zip	:	31047-2961
Country	:	US
Telephone Number	:	478-484-8968
Fax Number	:

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

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	05/09/2026

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Directions to “ MARTILA HOOKS ” Practice Location

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