Provider Demographics
NPI:1972817245
Name:MARTINEZ, ORLANDO T (LMSW)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:T
Last Name:MARTINEZ
Suffix:
Gender:M
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:PO BOX 465
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-0465
Mailing Address - Country:US
Mailing Address - Phone:917-498-2555
Mailing Address - Fax:
Practice Address - Street 1:91 RUMSEY RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1627
Practice Address - Country:US
Practice Address - Phone:917-498-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071415-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool