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General NPI Number Information
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NPI Number | 1427105808
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Entity Type | Individual
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Provider Name | MARTINA L WOODCOCK LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 1641 3RD ST
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City | RENSSELAER
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State | NY
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Zip | 12144-1539
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Country | US
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Telephone | 518-462-8869
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Fax | 518-462-8733
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Provider Business Mailing Address
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Address Line | 26 AVIAN DR
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-4130
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Country | US
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Telephone | 518-283-8543
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 055766-1
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License Number State | NY
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