Provider Demographics
NPI:1295435832
Name:MARTIN, ALISON ARLENE (LMSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ARLENE
Last Name:MARTIN
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 1:141 BUCYRUS DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1948
Mailing Address - Country:US
Mailing Address - Phone:716-909-8008
Mailing Address - Fax:
Practice Address - Street 1:141 BUCYRUS DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1948
Practice Address - Country:US
Practice Address - Phone:716-909-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091885-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker