Provider Demographics
NPI:1922154996
Name:MARTINSEN, EMILY CRAVEY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CRAVEY
Last Name:MARTINSEN
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 1:1000 SW 26 ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 SW 26 ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7005
Practice Address - Country:US
Practice Address - Phone:352-237-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ0916OtherPROVIDER NUMBER
FL210602700Medicaid
FL210602700Medicaid
R96213Medicare UPIN
FL80000 3371Medicare ID - Type UnspecifiedMEDICARE RAILROAD