Active NPI
Daniel Jacob Martinez, CSW
- Social Worker
- Murray, UT
National Provider Identifier
1023622362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11800940-3502
- Practice address
- 1165 W Brandonwood Dr
Murray, UT 84123-7910 - Phone
- (801) 706-6914
- NPI assigned
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11800940-3502 | UT | Primary |
Addresses
Primary practice location
1165 W Brandonwood Dr
Murray, UT 84123-7910
Mailing address
1165 W Brandonwood Dr
Murray, UT 84123-7910
Phone (801) 706-6914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11800940-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1023622362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 W BRANDONWOOD DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841237910",
"telephone_number": "801-706-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 W BRANDONWOOD DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841237910",
"telephone_number": "801-706-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DANIEL",
"middle_name": "JACOB",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "11800940-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.