Provider Demographics
NPI:1255184479
Name:BEARD-MARTIN, GINGER LEA (MSW, RSW)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:LEA
Last Name:BEARD-MARTIN
Suffix:
Gender:F
Credentials:MSW, RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 FERN VALLEY CRESCENT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L4E 2J6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:78 MAIN STREET. SOUTH
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:ONTARIO
Practice Address - Zip Code:L3Y 3Y6
Practice Address - Country:CA
Practice Address - Phone:289-879-1748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ8294701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical