Individual provider Active NPI

Erica Frances Martinez, LCSW, LAC

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1043826258
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929098 Issued in CO
Practice address
109 Coronado CT
Fort Collins, CO 80525-4929
Phone
(801) 675-1620
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002391 CO
Clinical Social Worker 1041C0700X CSW.09929098 CO Primary

Addresses

Primary practice location

109 Coronado CT
Fort Collins, CO 80525-4929

Mailing address

625 Conifer St Apt B
Fort Collins, CO 80524-5300
Phone (801) 675-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230329002329 CO Practitioner - Clinical Social Worker 6800260035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002391COMDAddiction (Substance Use Disorder) Counselor
CSW.09929098COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Spark Counseling LLC Clinical CurrentSince Apr 1, 2025 Accepting new patients

Locations

109 Coronado Ct
Fort Collins, CO 80525
Phone (970) 308-9733

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Organizations & group practices 1

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1043826258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CONIFER ST APT B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805245300",
            "telephone_number": "801-675-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CORONADO CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254929",
            "telephone_number": "801-675-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ERICA",
        "middle_name": "FRANCES",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002391",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.