Active NPIIndividual providerSole proprietor

Edward C Martinez, LCSW

Counselor, Mental Health in Canaan, Connecticut

NPI Number1770367906
Practice location
187 S Canaan RD, Canaan, CT 06018-2544
Fax
860-945-4282
Last updated
August 21, 2023

Edward Conrado Martinez is a Counselor, Mental Health based in Canaan, CT. Edward Conrado Martinez practices in Canaan, CT and has the professional credentials of LCSW. The NPI Number for Edward Conrado Martinez is 1770367906 and holds a License No. 03-045639 (CT). The current practice location address for Edward Conrado Martinez is 187 S Canaan RD, Canaan, CT 06018-2544 and can be reached out via phone at 877-200-0637 and via fax at 860-945-4282.

Provider Profile Details

NPI Number
1770367906
Provider Name
Edward Conrado Martinez
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
187 S Canaan RD, Canaan, CT 06018-2544
Phone Number
877-200-0637
Fax Number
860-945-4282
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2023
Last Update Date
August 21, 2023
Certification Date
August 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 S Canaan RD
Canaan, CT 06018-2544
City
Canaan
Zip
06018-2544
Phone Number
877-200-0637
Fax Number
860-945-4282
Canaan, CT 06018Get directions →

Provider Business Mailing Address Details

Address
110 N Main St
Winsted, CT 06098-1740
City
Winsted
State
CT
Zip
06098-1740
Phone Number
860-201-3414

License Information

License Number
03-045639
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edward C Martinez, LCSW?

The NPI number of Edward C Martinez, LCSW is 1770367906. It was assigned on August 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Edward C Martinez, LCSW?

Edward C Martinez, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 03-045639.

Where does Edward C Martinez, LCSW practice?

The practice location is 187 S Canaan RD, Canaan, CT 06018-2544. The office can be reached at 877-200-0637 (phone) or 860-945-4282 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770367906 directly on the NPPES registry website.

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