Mark Martin, LCSW - Clinical Social Worker in Provo, UT

Mark Martin, LCSW is a Social Worker - Clinical based in Provo, Utah. Mark Martin is licensed to practice in Utah (license number 11448098-3501) and his current practice location is 750 N Freedom Blvd, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 373-4760.

NPI number for Mark Martin is 1356316392 and his current mailing address is 750 N Freedom Blvd, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356316392.

Contact Information

Mark Martin, LCSW
750 N Freedom Blvd,
Provo, UT 84601-1677
(801) 373-4760
(801) 373-0639



Healthcare Provider's Profile

Full NameMark Martin
GenderMale
SpecialitySocial Worker - Clinical
Location750 N Freedom Blvd, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356316392
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 01/03/2020

Medical Identifiers

Medical identifiers for Mark Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356316392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 11448098-3501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Martin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Martin, LCSW
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 373-4760
Mark Martin, LCSW
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 373-4760

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› Verified 8 days ago


Social Worker in Provo, UT

Dallas Bean,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 750 N 200 W Ste 300, Provo, UT 84601
Phone: 801-373-4760    
Brenna Garrett, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1300 E Center St, Provo, UT 84606
Phone: 801-344-4400    
Mrs. Karen Dee Amsden, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 750 N Freedom Blvd, Provo, UT 84601
Phone: 801-373-4760    
Mr. John Paul Lilly, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 286 S 600 E, Suite C, Provo, UT 84606
Phone: 801-377-8232    Fax: 801-377-0930
Frederick Brewer, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601
Phone: 801-373-7394    
William Kory Camp, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1300 E Center St, Provo, UT 84606
Phone: 801-344-4215    
Alaina Barrick, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4045 N Canyon Rd, Provo, UT 84604
Phone: 859-582-0032    

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