Martinez, Rolando Thomas

Martinez, Rolando Thomas is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Martinez, Rolando Thomas can be contacted via phone (860) 444-5141.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 444-5141
Fax: (860) 442-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000839 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001095 Connecticut

Profile Details

NPI number 1649288390
LBN Legal business name Martinez, Rolando Thomas
Credentials MSW, LCSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 3rd, 2012 - 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 1649288390 NPPES
Connecticut Other D400060106 MEDICARE
Connecticut MEDICAID 1649288390 MEDICARE

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