Provider Demographics
NPI:1093110256
Name:MARTINEZ, RAQUEL (LMSW)
Entity type:Individual
Prefix:MS
First Name:RAQUEL
Middle Name:
Last Name:MARTINEZ
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 1:2 GAIL DR APT 2A
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1727
Mailing Address - Country:US
Mailing Address - Phone:646-342-4197
Mailing Address - Fax:
Practice Address - Street 1:2 GAIL DR
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1727
Practice Address - Country:US
Practice Address - Phone:646-342-4197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker