Martley, Jennifer Anne

Martley, Jennifer Anne is an sole proprietor health care provider with primary practice located at 26 Avery St , Mystic CT 06355-2925. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martley, Jennifer Anne can be contacted via phone (860) 235-1415.

Contact Information

Primary practice address
26 Avery St Mystic CT 06355-2925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007084 Connecticut

Profile Details

NPI number 1710119557
LBN Legal business name Martley, Jennifer Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2009
Last updated Jan 11th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710119557 NPPES
Connecticut Other 007084 LCSW LICENSE #007084

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