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

Mark Martin, LCSW

Individual provider Clinical Social Worker · NPI 1356316392

Mark Martin, LCSW is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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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 11448098-3501 (UT)

Record details

NPI number1356316392
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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