Doctor Name: | MRS. MARIANNA ERISMAN MARTIN |
NPI Number: | 1053470443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | R040748 |
Business Practice Address: | 1076 Main St Suite 204 Marianna E Martin Lcswr Fishkill, NY - 125243606 |
Business Phone Number: | 8458387853 |
Business Fax Number: | 8454621483 |
Mailing Address: | 44 Timberline Dr, Marianna E Martin POUGHKEEPSIE |
State: | NY |
Postal Code: | 126035546 |
Phone Number: | 8454626015 |
Fax Number: | 8454621483 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R040748 |
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 |