IndividualActive
David Martin, LCSW
NPI 1861651325 · Clinical Social Worker · Fairview, UT
Provider details
- NPI number
- 1861651325
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5001946-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
125 N State St
Fairview, UT 84629-5554
Phone: (435) 610-1810
Approximate (ZIP-level) locationGet directions
Mailing address
152 North 400 West
Ephraim, UT 84627-2131
Additional practice locations (1)
- 390 W 1st NEphraim, UT 84627-2131Phone: (435) 283-4065Fax: (435) 283-5387
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.