Provider Demographics
NPI:1457654758
Name:NOVOTNY, ALEYDA MARTINEZ (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALEYDA
Middle Name:MARTINEZ
Last Name:NOVOTNY
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 1:387 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-4400
Mailing Address - Country:US
Mailing Address - Phone:954-599-2484
Mailing Address - Fax:
Practice Address - Street 1:441 W END AVE APT 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5326
Practice Address - Country:US
Practice Address - Phone:954-599-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW7291174400000X
NYR067425-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist