Individual provider Active NPI

Erin Martinache, LICSW

  • Clinical Social Worker
  • Shelton, WA
National Provider Identifier
1003212770
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60231535 Issued in WA
Practice address
2146 W Railroad Ave
Shelton, WA 98584-7126
Phone
(360) 463-5015
Fax
(360) 462-0289
NPI assigned
Nov 7, 2014
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60231535 WA Primary

Addresses

Primary practice location

2146 W Railroad Ave
Shelton, WA 98584-7126

Mailing address

2146 W Railroad Ave # 4
Shelton, WA 98584-7126
Phone (360) 463-5015

Other practice location 1

237 Professional Way
Shelton, WA 98584-4404
Phone (360) 426-2500

Other practice location 2

400 E Hiawatha Blvd
Shelton, WA 98584-7838
Phone (360) 485-7541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125000074 WA Practitioner - Clinical Social Worker 0042513145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2146 W Railroad Ave
Shelton, WA 98584-7126
Phone (360) 463-5015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60231535WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Martinache Licsw, LLC Clinical CurrentSince Feb 2, 2023 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Dec 17, 2015 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Dec 17, 2015 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Balance Psychiatric Mental Health & Wellness Clinical Past Accepting new patients

Locations

2146 W Railroad Ave
Shelton, WA 98584
Phone (360) 459-7126

2146 W Railroad Ave
#4
Shelton, WA 98584

2146 W Railroad Ave
Ste A
Shelton, WA 98584
Phone (360) 358-2085

237 Professional Way
Shelton, WA 98584
Phone (360) 426-2500

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1003212770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 W RAILROAD AVE # 4",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847126",
            "telephone_number": "360-463-5015",
            "fax_number": "360-462-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847126",
            "telephone_number": "360-463-5015",
            "fax_number": "360-462-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Professional Way",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985844404",
            "country_code": "US",
            "telephone_number": "360-426-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Hiawatha Blvd",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985847838",
            "country_code": "US",
            "telephone_number": "360-485-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINACHE",
        "first_name": "ERIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60231535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

Verify at the official NPI Registry.