Martin, Lola Gabrielle

Martin, Lola Gabrielle is an sole proprietor health care provider with primary practice located at 13033 229Th St , Laurelton NY 11413-1838. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Lola Gabrielle can be contacted via phone (917) 531-1295.

Contact Information

Primary practice address
13033 229Th St Laurelton NY 11413-1838
Phone: (917) 531-1295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 081659 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088400 New York

Profile Details

NPI number 1104174648
LBN Legal business name Martin, Lola Gabrielle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2012
Last updated Jun 8th, 2021 - about 3 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.

Request for update

Popular Providers