Carla Lynn Martin, LCSW | |
146 Elm St Ste A-12, Cheshire, CT 06410-2808 | |
(203) 439-7545 | |
Not Available |
Full Name | Carla Lynn Martin |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 146 Elm St Ste A-12, Cheshire, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669685145 | NPI | - | NPPES |
004068284 | Medicaid | CT | |
004215308 | Medicaid | CT | |
008030935 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 005635 (Connecticut) | Primary |
Entity Name | Evolve Behavioral Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639677149 PECOS PAC ID: 2466716329 Enrollment ID: O20180502000078 |
Mailing Address | Practice Location Address |
---|---|
Carla Lynn Martin, LCSW 141 Forge Drive, Avon, CT 06001 Ph: (860) 404-8846 | Carla Lynn Martin, LCSW 146 Elm St Ste A-12, Cheshire, CT 06410-2808 Ph: (203) 439-7545 |
Delmaliz Montes De Oca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 787 N Brooksvale Rd, Cheshire, CT 06410 Phone: 203-802-5949 | |
Rachel Paige Mastin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Highland Ave Ste 21, Cheshire, CT 06410 Phone: 944-920-3263 | |
Benjamin Chaback, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 545 Highland Ave, Cheshire, CT 06410 Phone: 203-250-0305 | |
Ethan Sansolo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Highland Ave, Building A, Suite 6, Cheshire, CT 06410 Phone: 860-335-7615 | |
Ms. De'andrea L.r. Dillard, MSM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1113 S Main St Ste F, Cheshire, CT 06410 Phone: 203-699-6318 | |
Raenette G Riddick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 Highland Ave Ste B, Cheshire, CT 06410 Phone: 203-599-1492 | |
Kayla Jose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Highland Ave Ste A6, Cheshire, CT 06410 Phone: 203-525-4955 |