Provider Demographics
NPI:1740360767
Name:HOWDEN, MARTHA M (LCSW CASAC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:M
Last Name:HOWDEN
Suffix:
Gender:F
Credentials:LCSW CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 E HENRIETTA RD STE A-6
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1419
Mailing Address - Country:US
Mailing Address - Phone:585-272-1760
Mailing Address - Fax:585-272-8986
Practice Address - Street 1:945 E HENRIETTA RD STE A-6
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1419
Practice Address - Country:US
Practice Address - Phone:585-272-1760
Practice Address - Fax:585-272-8986
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028263101YA0400X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100379FKOtherPREFERRED CARE
NY7480486OtherAETNA
NY1037159OtherCIGNA
NY141331OtherMAGELLAN BEHAVIORAL HEALT
0001131144OtherMANAGED HEALTH NETWORK
NY7496402OtherVALUE OPTIONS
NYN4V47OtherHEALTH ECONOMICS
NYP010028263OtherEXCELLUS BCBS
NYP010028263OtherEMPIRE BCBS
NY000926526001OtherBCBS OF WESTERN NY
NY02308125Medicaid