MEDICARE: RITAMAREE MARTIN SWLC

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	BBH-SWLC-LIC-88323	MT

General Provider Information

NPI Number	:	1689516460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITAMAREE MARTIN SWLC

Provider Business Mailing Address
First Line	:	439 GRAND DR # 142
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-3614
Country	:	US
Telephone Number	:	406-393-8083
Fax Number	:	406-221-2898

Provider Business Practice Location Address
First Line	:	439 GRAND DR # 142
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-3614
Country	:	US
Telephone Number	:	406-393-8083
Fax Number	:	406-221-2898

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ RITAMAREE MARTIN SWLC” Practice Location

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