Individual provider · Type 1 NPI

Kenndra Martinez, LCSW

Clinical Social Worker · Bristol, CT

NPI number 1861090979 Active

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

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15667 (CT)
Student in an Organized Health Care Education/Training Program 390200000XNone 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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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.