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NPI Code Detail

MEDICARE: BARBARA S MARTIN LCSW

MEDICARE: BARBARA S MARTIN 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 Worker2011020291MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730418807
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA S MARTIN LCSW
Provider Business Mailing Address
First Line : 1628 OKLAHOMA AVE
Second Line :
City : TRENTON
State : MO
Zip : 64683-2565
Country : US
Telephone Number : 660-359-4600
Fax Number :
Provider Business Practice Location Address
First Line : 1628 OKLAHOMA AVE
Second Line :
City : TRENTON
State : MO
Zip : 64683-2565
Country : US
Telephone Number : 660-359-4600
Fax Number : 660-359-4286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2009
Last Update Date : 02/12/2026

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Directions to “ BARBARA S MARTIN LCSW” Practice Location

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