IndividualActive
Keith Martin, LCSW
NPI 1003027046 · Clinical Social Worker · Madera, CA
Provider details
- NPI number
- 1003027046
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCS 15670 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9300 Valley Childrens Pl
Madera, CA 93638-8761
Phone: (558) 353-3000
Fax: (559) 353-5838
Approximate (ZIP-level) locationGet directions
Mailing address
4507 W. Berkeley Avenue
Fresno, CA 93722
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.