Provider Demographics
NPI:1255695714
Name:LAMARTINA, MARIN NICOLE (MSW; MT)
Entity type:Individual
Prefix:MISS
First Name:MARIN
Middle Name:NICOLE
Last Name:LAMARTINA
Suffix:
Gender:F
Credentials:MSW; MT
Other - Prefix:
Other - First Name:MARIN
Other - Middle Name:NICOLE
Other - Last Name:LAMARTINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1525 FALLOWFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-3752
Mailing Address - Country:US
Mailing Address - Phone:608-335-6246
Mailing Address - Fax:
Practice Address - Street 1:907 WEST ST STE 516
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2838
Practice Address - Country:US
Practice Address - Phone:412-238-7274
Practice Address - Fax:412-345-5827
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137007104100000X
CO5892225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist