Provider Demographics
NPI:1578247698
Name:MARTIN SKERRITT, LICENSED CLINICAL SOCIAL WORKER, PC
Entity Type:Organization
Organization Name:MARTIN SKERRITT, LICENSED CLINICAL SOCIAL WORKER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:831-236-3737
Mailing Address - Street 1:PO BOX 2037
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-2037
Mailing Address - Country:US
Mailing Address - Phone:831-236-3737
Mailing Address - Fax:
Practice Address - Street 1:910 MAJOR SHERMAN LN STE 200
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4643
Practice Address - Country:US
Practice Address - Phone:831-236-3737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty