Martin, Carla Lynn
Martin, Carla Lynn is an sole proprietor health care provider with primary practice located at 146 Elm St Ste A-12 , Cheshire CT 06410-2808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Carla Lynn can be contacted via phone (203) 439-7545.Contact Information
Primary practice address
146 Elm St Ste A-12
Cheshire CT 06410-2808
Phone: (203) 439-7545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005635 | Connecticut |
Profile Details
NPI number | 1669685145 |
---|---|
LBN Legal business name | Martin, Carla Lynn |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2007 |
Last updated | Apr 30th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669685145 | NPPES |
Connecticut | MEDICAID | 004068284 | |
Connecticut | MEDICAID | 004215308 | |
Connecticut | MEDICAID | 008030935 |
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