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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669685145 NPPES
Connecticut MEDICAID 004068284
Connecticut MEDICAID 004215308
Connecticut MEDICAID 008030935

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