Individual
AUSTIN MICHAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
348 E 76TH ST APT 4D, NEW YORK, NY 10021-2519
(646) 753-2142
Mailing address
348 E 76TH ST APT 4D, NEW YORK, NY 10021-2519
(646) 753-2142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
119303
CA
101YM0800X
Mental Health Counselor
Primary
119303
NY
1041C0700X
Clinical Social Worker
Primary
100390
NY
Other
Enumeration date
08/31/2020
Last updated
04/01/2026
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