Healthcare Provider Details

I. General information

NPI: 1669656294
Provider Name (Legal Business Name): HALIMA ELIZABETH MARTELLI LCSW23492
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS HALIMA ELIZABETH EMERY

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 W AVENUE J STE C
LANCASTER CA
93534-3443
US

IV. Provider business mailing address

921 W AVENUE J STE C
LANCASTER CA
93534-3443
US

V. Phone/Fax

Practice location:
  • Phone: 213-342-0100
  • Fax:
Mailing address:
  • Phone: 213-342-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW23492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: