Look up the most recent NPI and PECOS records

Debra Joyce Martin

Social Worker

Behavioral Health & Social Service Providers

25140 Lahser Rd Ste 203a, Southfield, MI 48033-6311

PECOS Enrollment

Based on the most recent information from CMS, provider Debra Joyce Martin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1649515404
Provider Type
Individual
Full Name
Martin, Debra Joyce
Title
Ms.
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/5/2012
Last Updated
12/15/2012

Contact Information

Practice Location

25140 Lahser Rd Ste 203a, Southfield, MI 48033-6311

(248) 252-8806

(248) 443-1543

Mailing Location

30625 Nadora St, Southfield, MI 48076-7712

(248) 252-8806

(248) 443-1543

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801083977 Michigan
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 6801083977 Michigan
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 6801083977 Michigan

Debra Joyce Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Sherry, Anna Caroline

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Richardson, Elizabeth

Martin, Mariel