Individual
KENNDRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
395 N MAIN ST, BRISTOL, CT 06010-4924
(860) 585-5000
(860) 585-5050
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 347-6971
(860) 343-7379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15667
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2020
Last updated
01/20/2026
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