Provider Demographics
NPI:1265762058
Name:MARTIN-SALTSMAN, AMIRA R (LCSW)
Entity type:Individual
Prefix:
First Name:AMIRA
Middle Name:R
Last Name:MARTIN-SALTSMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMIRA
Other - Middle Name:
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:ALMOND
Mailing Address - State:NY
Mailing Address - Zip Code:14804-0055
Mailing Address - Country:US
Mailing Address - Phone:646-986-7387
Mailing Address - Fax:
Practice Address - Street 1:303 SENECA RD STE C
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1000
Practice Address - Country:US
Practice Address - Phone:646-662-4049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0761391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical