Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Martin Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1578688057

Angela Martin Psychotherapy, LLC is a Clinical Social Worker in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6021 Durand Ave
Racine, WI 53406-5096
Phone: (262) 554-0126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6568-123 (WI)

Record details

NPI number1578688057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Martin — President · (262) 515-3220
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5930 5th Ave, Kenosha, WI 53140-4214

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