Provider Demographics
NPI:1083863815
Name:MARTIN, KAREN JOYCE (MSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOYCE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 SATURN LN W
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-3241
Mailing Address - Country:US
Mailing Address - Phone:904-651-5576
Mailing Address - Fax:
Practice Address - Street 1:423 SATURN LN W
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-3241
Practice Address - Country:US
Practice Address - Phone:904-651-5576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC010250001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical