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

Mary Edna Wanda Martin, LCSW

Individual provider Clinical Social Worker · NPI 1235002924

Mary Edna Wanda Martin, LCSW is a Clinical Social Worker in Phenix City, Alabama. Practices as a sole proprietor. Licensed in Alabama and Georgia.

Licensed in
AL, GA
In the registry since
2025
Specialties on file
2
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

819 Lee Road 219
Phenix City, AL 36870-8723
Phone: (706) 761-6885
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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 CSW005133 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1869C (AL)

Record details

NPI number1235002924
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 28, 2025

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