Individual provider · Type 1 NPI

Lola Gabrielle Martin, LCSW

Clinical Social Worker · Laurelton, NY

NPI number 1104174648 Active

Practice location

13033 229th St
Laurelton, NY 11413-1838

Other practice locations

  • 8956 162nd St, 2nd Floor, Jamaica, NY 11432-5072 · (718) 657-7100
  • 320 Ivy Ave, Westbury, NY 11590-1916 · (917) 531-1295

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X081659 (NY)
Clinical Social Worker Primary 1041C0700X088400 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104174648

Lola Gabrielle Martin, LCSW's National Provider Identifier is 1104174648, issued on Aug 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laurelton, NY. The record was last updated on Jun 8, 2021.