MEDICARE: MRS. NATALIE ANN ST 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
1	1041C0700X	Clinical Social Worker	44SC06661100	NJ
2	1041C0700X	Clinical Social Worker	16319	CT
3	1041C0700X	Clinical Social Worker	29989	MD
4	1041C0700X	Clinical Social Worker	6723	FL

General Provider Information

NPI Number	:	1841048329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE ANN ST MARTIN LCSW

Provider Business Mailing Address
First Line	:	54 MORTIMER ST
Second Line	:
City	:	TORRINGTON
State	:	CT
Zip	:	06790-6818
Country	:	US
Telephone Number	:	203-887-5036
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 MORTIMER ST
Second Line	:
City	:	TORRINGTON
State	:	CT
Zip	:	06790-6818
Country	:	US
Telephone Number	:	203-450-9847
Fax Number	:

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

Provider Enumeration Date	:	05/09/2024
Last Update Date	:	05/28/2026

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