Individual
CRISTINA MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,BA,LCSW
Contact information
Practice address
54 S MAIN ST, NEWTOWN CLINICALN SERVICES, NEWTOWN, CT 06470-5310
(203) 270-5564
(203) 270-5514
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7788
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008061327
—
CT
01
—
13671438
CAQH
CT
01
—
5478849
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
08/21/2015
Last updated
08/15/2016
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