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NPI Code Detail

MEDICARE: EMMA THERESA MARTELLO LMSW

MEDICARE: EMMA THERESA MARTELLO LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker16339LA

General Provider Information

NPI Number : 1184495277
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA THERESA MARTELLO LMSW
Provider Business Mailing Address
First Line : 1734 JOSEPHINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70113-1538
Country : US
Telephone Number : 504-648-7008
Fax Number :
Provider Business Practice Location Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-677-8464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/09/2024

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