Provider Demographics
NPI:1780775866
Name:MARTEL, ANN MARIE (MSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:MARTEL
Suffix:
Gender:F
Credentials:MSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SHELTER COVE LN
Mailing Address - Street 2:#262 CAPTAIN'S QUARTERS
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-1508
Mailing Address - Country:US
Mailing Address - Phone:843-785-5995
Mailing Address - Fax:843-785-5995
Practice Address - Street 1:2 SHELTER COVE LN
Practice Address - Street 2:#262 CAPTAIN'S QUARTERS
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-1508
Practice Address - Country:US
Practice Address - Phone:843-785-5995
Practice Address - Fax:843-785-5995
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC87731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800000120Medicare ID - Type Unspecified