Provider Demographics
NPI:1639262934
Name:MARTS, NANCY J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:MARTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 GARLAND ASHE RD
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723
Mailing Address - Country:US
Mailing Address - Phone:828-712-0109
Mailing Address - Fax:
Practice Address - Street 1:10 CRAFT CIRCLE
Practice Address - Street 2:
Practice Address - City:DILLSBORO
Practice Address - State:NC
Practice Address - Zip Code:28725
Practice Address - Country:US
Practice Address - Phone:828-712-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003222104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
1613XOtherBCBS NC
NC6002430Medicaid