Individual
ALICIA MICHELE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11 BROADWAY STE 930, NEW YORK, NY 10004-1350
(212) 320-2216
Mailing address
11 BROADWAY STE 930, NEW YORK, NY 10004-1350
(212) 320-2216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123603-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2023
Last updated
01/06/2026
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