Provider Demographics
NPI:1982634150
Name:MARTONE, SALVATORE (LCSW)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:MARTONE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 PEPPER TREE HILL LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2340
Mailing Address - Country:US
Mailing Address - Phone:203-510-2079
Mailing Address - Fax:410-861-6262
Practice Address - Street 1:145 PEPPER TREE HILL LN
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2340
Practice Address - Country:US
Practice Address - Phone:203-510-2079
Practice Address - Fax:410-861-6262
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0011681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1400001168CT01OtherANTHEM
CT079463OtherMHN
CTIP091189OtherAETNA
CT87726OtherUBH
CT055456OtherVALUE OPTIONS
CTIP091189OtherAETNA