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 provides Clinical Social Worker services 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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