Provider Demographics
NPI:1467612788
Name:MARTIN, KRISTEN MEREDITH (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:MEREDITH
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:MEREDITH
Other - Last Name:HEGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:218 W ALLEN ST STE B
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-5004
Mailing Address - Country:US
Mailing Address - Phone:828-697-1581
Mailing Address - Fax:828-697-8842
Practice Address - Street 1:2110 WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-3158
Practice Address - Country:US
Practice Address - Phone:828-697-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0072061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical