Provider Demographics
NPI:1447659230
Name:MARTINI, CHRISTINA DANIELLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:DANIELLE
Last Name:MARTINI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 4TH AVE APT 3K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4883
Mailing Address - Country:US
Mailing Address - Phone:917-445-0579
Mailing Address - Fax:
Practice Address - Street 1:1 HOYT STREET, 7TH FLOOR
Practice Address - Street 2:COMMUNITY COUNSELING AND MEDIATION
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-802-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker