Individual provider Active NPI

Liara Martinez Molina, LCSW

  • Clinical Social Worker
  • Mayaguez, PR
National Provider Identifier
1093352999
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14954 Issued in PR
Practice address
67 Calle Dr Ramon E Betances S
Mayaguez, PR 00680-4071
Phone
(787) 515-4657
NPI assigned
Dec 10, 2019
Last updated
Jul 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 14954 PR Primary

Addresses

Primary practice location

67 Calle Dr Ramon E Betances S
Mayaguez, PR 00680-4071

Mailing address

67 Calle Dr Ramon E Betances S
Mayaguez, PR 00680-4071

Other identifiers 1

IdentifierTypeStateIssuer
14954OtherPRLICENSE OF SOCIAL WORK STATE DEPARTMENT

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
14954PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Estimulacion Cognitiva del Oeste LLC Clinical CurrentSince Dec 15, 2019 Accepting new patients

Locations

67 Calle Dr Ramon E Betances S
Mayaguez, PR 00680
Phone (787) 515-4657

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, 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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1093352999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CALLE DR RAMON E BETANCES S",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE DR RAMON E BETANCES S",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804071",
            "telephone_number": "787-515-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MOLINA",
        "first_name": "LIARA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE OF SOCIAL WORK STATE DEPARTMENT",
            "identifier": "14954",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.