Provider Demographics
NPI:1366916165
Name:MARTE, RENEE ANGELA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:ANGELA
Last Name:MARTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:ANGELA
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:4258 BYRON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3117
Mailing Address - Country:US
Mailing Address - Phone:347-244-5840
Mailing Address - Fax:
Practice Address - Street 1:4258 BYRON AVE APT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3117
Practice Address - Country:US
Practice Address - Phone:347-244-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker