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

Martin George Marty, LICSW

Individual provider Clinical Social Worker · NPI 1659409548

Martin George Marty, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

301 4th Ave S Ste 780N
Minneapolis, MN 55415-1015
Phone: (612) 348-8124
Fax: (612) 317-6180
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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 14109 (MN)

Record details

NPI number1659409548
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 1, 2007
Last updated in NPPESJuly 9, 2007

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