Provider Demographics
NPI:1710110739
Name:HIRSCH, MARTHA GALDAMEZ (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:GALDAMEZ
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3824
Mailing Address - Country:US
Mailing Address - Phone:516-829-9108
Mailing Address - Fax:
Practice Address - Street 1:3 ARBOR ST
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3824
Practice Address - Country:US
Practice Address - Phone:516-829-9108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR021370-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical