Individual provider · Type 1 NPI
Kenndra Martinez, LCSW
Clinical Social Worker · Bristol, CT
Practice location
395 N Main St
Bristol, CT 06010-4924
Fax (860) 585-5050
Mailing address
19 Grand St
Middletown, CT 06457-2705
Other practice locations
- 141 E Main St, Waterbury, CT 06702-2310 · (203) 574-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 15667 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
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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- Jennifer Lynn Sers, APN, FNP-BCFamily Nurse Practitioner Bristol, CT NPI 1992366215
- Katherine B. Bares, RPA-CPhysician Assistant Bristol, CT NPI 1134376304
- Melissa Oldham, APRNFamily Nurse Practitioner Bristol, CT NPI 1689370751
- Naya D. Agodoa, APRNPsychiatric/Mental Health Nurse Practitioner Bristol, CT NPI 1043793565
- Ravneet Kaur Bharara, APRNFamily Nurse Practitioner Bristol, CT NPI 1801105036
- Sara Joy Schoonover, M.A.Clinical Child & Adolescent Psychologist Bristol, CT NPI 1043529894
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- Alexandra Martone, LCSWClinical Social Worker Bristol, CT NPI 1073285029
- Mikyle DepinaClinical Social Worker Bristol, CT NPI 1083440820
- Prem ShresthaClinical Social Worker Bristol, CT NPI 1093694655
- Jessica Lynne Blankenship, LCSWClinical Social Worker Bristol, CT NPI 1104975937
- Donyale M. Pina, LCSWClinical Social Worker Bristol, CT NPI 1164577953
About NPI 1861090979
Kenndra Martinez, LCSW's National Provider Identifier is 1861090979, issued on Oct 12, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bristol, CT. The record was last updated on Jan 20, 2026.