Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenndra Martinez, LCSW

Individual provider Clinical Social Worker · NPI 1861090979

Kenndra Martinez, LCSW is a Clinical Social Worker in Bristol, Connecticut. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

395 N Main St
Bristol, CT 06010-4924
Phone: (860) 585-5000
Fax: (860) 585-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 141 E Main St, Waterbury, CT 06702-2310 — (203) 574-9000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15667 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861090979
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 12, 2020
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address19 Grand St, Middletown, CT 06457-2705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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