Individual provider Active NPI

Elsie E Martinez, MSW, LSWAIC

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1033861190
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61235603 Issued in WA
Practice address
4530 Union Bay PL NE Ste 214
Seattle, WA 98105-4000
Phone
(206) 420-7345
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 SC61235603 WA Primary

Addresses

Primary practice location

4530 Union Bay PL NE Ste 214
Seattle, WA 98105-4000

Mailing address

4530 Union Bay PL NE Ste 214
Seattle, WA 98105-4000

Other practice location 1

4530 Union Bay Pl NE Ste 214
Seattle, WA 98105-4000
Phone (206) 420-7345

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address elsie.martinez@hallowelltodaro.com hallowell todaro adhd center
Direct Messaging Address elsie.martinez@hallowelltodaro.com

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

LicenseStateTypeSpecialty
SC61235603WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hallowell Todaro Center PLLC CurrentSince Oct 2, 2022 Accepting new patients
Whitebear Behavioral Health Clinical Past Accepting new patients

Locations

5502 34th Ave NE
Seattle, WA 98105
Phone (206) 420-7345

4530 Union Bay Pl NE
Ste 214
Seattle, WA 98105
Phone (206) 420-7345

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1033861190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 UNION BAY PL NE STE 214",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 UNION BAY PL NE STE 214",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054000",
            "telephone_number": "206-420-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 Union Bay Pl NE Ste 214",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054000",
            "country_code": "US",
            "telephone_number": "206-420-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELSIE",
        "middle_name": "E",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61235603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elsie.martinez@hallowelltodaro.com",
            "affiliation": "Y",
            "affiliationName": "hallowell todaro adhd center",
            "address_1": "5502 34th Ave NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981052305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elsie.martinez@hallowelltodaro.com",
            "affiliation": "N",
            "address_1": "4530 Union Bay Pl NE Ste 214",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981054000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.