Provider Demographics
NPI:1225294861
Name:MARTIN, APRIL (LPC, LSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LPC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 GREENWAY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1475
Mailing Address - Country:US
Mailing Address - Phone:304-414-9161
Mailing Address - Fax:304-414-9164
Practice Address - Street 1:414 GREENWAY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1475
Practice Address - Country:US
Practice Address - Phone:304-414-9161
Practice Address - Fax:304-414-9164
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1589101YP2500X
WVAP00942061104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker