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Contact Information

SAMANTHA S MARTINEZ, LICSW
97 HOLMES STREET
QUINCY, MA02171
 Phone: 781-866-9497
 Fax: 617-770-1174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for SAMANTHA S MARTINEZ · (Female)

NPI Number 1255305504
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 02/14/2006
Last updated 06/11/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 112033
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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