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

Individual provider Social Worker · NPI 1104174648

Lola Gabrielle Martin, LCSW is a Social Worker in Laurelton, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012
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

13033 229th St
Laurelton, NY 11413-1838
Phone: (917) 531-1295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8956 162nd St, Jamaica, NY 11432-5072 — (718) 657-7100
  • 320 Ivy Ave, Westbury, NY 11590-1916 — (917) 531-1295

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 088400 (NY)
Social Worker Taxonomy 104100000X · Licence 081659 (NY)

Record details

NPI number1104174648
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2012
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

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