Active NPI
Jonathan L Martinez, LMSW
- Social Worker
- Austin, TX
National Provider Identifier
1053046557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 66801
- Practice address
- 12021 Metric Blvd
Austin, TX 78758-8616 - Phone
- (512) 228-3308
- Fax
- (512) 228-3349
- NPI assigned
- Jul 19, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 66801 | TX | Primary |
Addresses
Primary practice location
12021 Metric Blvd
Austin, TX 78758-8616
Mailing address
1680 Hero Way Apt 1212
Leander, TX 78641-3429
Phone (432) 290-3019
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://care.matrixcare.com/ | Direct |
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 |
|---|---|---|---|
| 66801 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1053046557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 HERO WAY APT 1212",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413429",
"telephone_number": "432-290-3019",
"fax_number": "512-228-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 METRIC BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787588616",
"telephone_number": "512-228-3308",
"fax_number": "512-228-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JONATHAN",
"middle_name": "L",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "66801",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://care.matrixcare.com/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12021 Metric Blvd",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787588616",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.