Provider Demographics
NPI:1356499545
Name:MARTINI, JOSIANNA R (LICSW)
Entity Type:Individual
Prefix:
First Name:JOSIANNA
Middle Name:R
Last Name:MARTINI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1297
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01302-1297
Mailing Address - Country:US
Mailing Address - Phone:413-537-8405
Mailing Address - Fax:
Practice Address - Street 1:298 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1971
Practice Address - Country:US
Practice Address - Phone:857-291-4498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1151251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA115125OtherLICENSE
MA213433OtherLICENSE