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Organization
WELLSPRINGS CLINICAL SOCIAL WORK PLLC
Active
Organization
WELLSPRINGS CLINICAL SOCIAL WORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER MARTINEZ LCSWR (CEO)
(347) 651-0900
Entity
Organization
Contact information
Practice address
109 N 12TH ST FL 8, BROOKLYN, NY 11249-1008
(347) 651-0900
(888) 901-8693
Mailing address
446 E MEADOW AVE UNIT 723, EAST MEADOW, NY 11554-6024
(347) 651-0900
(888) 901-8693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077662
—
NY
Enumeration date
01/26/2023
Last updated
01/26/2023
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