Provider Demographics
NPI:1730275405
Name:SAKS-MARTIN, ARLENE JOY (LCSW-C, CCM)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:JOY
Last Name:SAKS-MARTIN
Suffix:
Gender:F
Credentials:LCSW-C, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 EASTMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133
Mailing Address - Country:US
Mailing Address - Phone:410-340-3896
Mailing Address - Fax:410-655-1676
Practice Address - Street 1:3703 EASTMAN ROAD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133
Practice Address - Country:US
Practice Address - Phone:410-340-3896
Practice Address - Fax:410-655-1676
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD018451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD187NMedicare ID - Type UnspecifiedARMEL, INC
MD599L028DMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER