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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOLA GABRIELLE MARTIN, LCSW

Active Sole Proprietor

LOLA GABRIELLE MARTIN, LCSW is a Clinical Social Worker healthcare provider located in LAURELTON, New York. NPI 1104174648 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAURELTON, NY

Registration Details

NPI Number
1104174648
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2012 (13.969876717915 yrs)
Last Updated
Jun 8, 2021
Licenses
081659 (NY)
088400 (NY)
Sole Proprietor
Yes

Practice Information

Address
13033 229TH ST
LAURELTON, NY, 114131838
Browse NY providers · Browse ZIP 11413
Phone
9175311295
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LAURELTON, NY

Name Credential NPI
ANGELA CASHWELL LCSW 1417247065
MRS. SANNA AKEHMA SMITH 1417369497
PHILIP ROFRANO 1154703304
DR. STEFANIE IMANI DOWNING LMSW, PHD SOCIAL WOR 1043724487
CYNTHIA A BOUCHER LCSW 1568006278
WILZA DESCARDES 1871312538
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.