Lola Gabrielle Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088400 Issued in NY

Practice address

13033 229TH St
Laurelton, NY 11413-1838

Phone

(917) 531-1295

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Lola Gabrielle Schelling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Through Therapeutic Services and Consulting LLC

  • Clinical Social Worker
  • Laurelton, NY
  • NPI 1922710862
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1104174648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13033 229TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131838",
            "telephone_number": "917-531-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 229TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131838",
            "telephone_number": "917-531-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8956 162nd St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114325072",
            "country_code": "US",
            "telephone_number": "718-657-7100",
            "fax_number": "718-657-7137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Ivy Ave",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115901916",
            "country_code": "US",
            "telephone_number": "917-531-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LOLA",
        "middle_name": "GABRIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081659",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLA",
            "last_name": "SCHELLING",
            "middle_name": "GABRIELLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medjine Macceus-Francois
• Edmund Malu
• Crystal Ann Marques
• Altheia Martin
• Karine Martin
• Fay Matthews
• Desney Sharon McClintock, LPN
• Annette Patricia McDonald, LPN
• Donna Marie McKenzie
• Constance McLeod-Wills

• Clinical Social Worker in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.