| Laurie E. Martin, Lcsw Llc | |
|
10 N 2nd Ave Highland Park NJ 08904-2419 | |
| (732) 565-9812 | |
| (732) 565-9001 |
| Full Name | Laurie E. Martin, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10 N 2nd Ave, Highland Park, New Jersey |
| Authorized Official Name and Position | Laurie Ellen Martin (OWNER) |
| Authorized Official Contact | 7325659812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie E. Martin, Lcsw Llc 10 N 2nd Ave Highland Park NJ 08904-2419 Ph: (732) 565-9812 | Laurie E. Martin, Lcsw Llc 10 N 2nd Ave Highland Park NJ 08904-2419 Ph: (732) 565-9812 |
| NPI Number | 1760861868 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 7416278163 |
|---|---|
| Medicare Enrollment ID | O20150605001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760861868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00261300 (New Jersey) | Primary |
| Provider Name | Laurie E Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508082496 PECOS PAC ID: 9739136029 Enrollment ID: I20050408000036 |
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