Doctor Name: | CRISTINA MARTINS |
NPI Number: | 1043687320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW,BA,LCSW |
License Number: | 7788 |
Business Practice Address: | 54 S Main St Newtown Clinicaln Services Newtown, CT - 064705310 |
Business Phone Number: | 2032705564 |
Business Fax Number: | 2032705514 |
Mailing Address: | 141 E Main St, 4th Floor Administration WATERBURY |
State: | CT |
Postal Code: | 067022310 |
Phone Number: | 2035749000 |
Fax Number: | 2035749006 |
NPI Enumeration Date: | 08/21/2015 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |