Doctor Name: | MS. CLAIRE ELIZABETH MARTELL |
NPI Number: | 1003968140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | R0402231 |
Business Practice Address: | 23 Technology Drive Suite 5 East Setauket, NY - 117330000 |
Business Phone Number: | 6316892617 |
Business Fax Number: | 6317361442 |
Mailing Address: | 23 Technology Drive, Suite 5 EAST SETAUKET |
State: | NY |
Postal Code: | 117330000 |
Phone Number: | 6316892617 |
Fax Number: | 6317361442 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R0402231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |