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MR. CORY JON MARTIN LCSW MPA NPI 1427385244


NPI Information

NPI: 1427385244
Provider Name: MR. CORY JON MARTIN, LCSW, MPA
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
211 E 7TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 242-0460
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MR. Cory Jon Martin, LCSW, MPA is a clinical social worker in Eugene, OR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Cory Jon Martin, LCSW, MPA NPI is 1427385244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211 E 7TH AVE
EUGENE, OR
ZIP 97401-773
Phone: (541) 242-0460

The enumeration date for this NPI number is 11/16/2009 and was last updated on 2/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker7238604-3502UTAHNo
21041C0700XSocial WorkerClinical7238604-3501UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17238604-3502OTHERUTAHSTATE OF UTAH DEPARTMENT OF PROFESSIONAL LICENSING
27238604-3501OTHERUTAHSTATE OF UTAH - DEPARTMENT OF COMMERCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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