Provider Demographics
NPI:1295956738
Name:MARTINEZ-ESTEVE, ANNA MARIA (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:MARTINEZ-ESTEVE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 SW 94TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2034
Mailing Address - Country:US
Mailing Address - Phone:305-595-9569
Mailing Address - Fax:
Practice Address - Street 1:9401 SW 94TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2034
Practice Address - Country:US
Practice Address - Phone:305-595-9569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW69231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL765880000Medicaid