Individual ProviderClare MartinaCounselorBehavioral Health & Social Service ProvidersPractice Address55 Dimock St, Goddard Building, Roxbury, MA 02119-1029(617) 442-8800(617) 558-0081PECOS EnrollmentBased on the most recent information from CMS, provider Clare Martina does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467526574Provider TypeIndividualFull NameMartina, ClareCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date11/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address55 Dimock St, Goddard Building, Roxbury, MA 02119-1029Phone(617) 442-8800Fax(617) 541-8622Mailing LocationMailing Address36a Crescent St, West Newton, MA 02465-2021Phone(617) 558-0081FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense3254Massachusetts