Provider Demographics
NPI:1144392119
Name:CAIN, MARTINA MARIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARTINA
Middle Name:MARIA
Last Name:CAIN
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:LERCHENSTRASSE 5
Mailing Address - Street 2:
Mailing Address - City:RODENBACH
Mailing Address - State:RHEINLAND-PFALZ
Mailing Address - Zip Code:67688
Mailing Address - Country:DE
Mailing Address - Phone:06374
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:CMR 402
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00007301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE491962Medicare ID - Type UnspecifiedLCSW