Active NPI
Maxfield Michael Martinez, LSW
- Social Worker
- Fort Collins, CO
National Provider Identifier
1104719632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009926362
- Practice address
- 3711 John F Kennedy Pkwy Ste 310
Fort Collins, CO 80525-2658 - Phone
- (970) 825-2778
- NPI assigned
- Jun 2, 2025
- 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 | LSW.0009926362 | CO | Primary |
Addresses
Primary practice location
3711 John F Kennedy Pkwy Ste 310
Fort Collins, CO 80525-2658
Mailing address
1500 N Grant St # 5089
Denver, CO 80203-1859
Phone (970) 825-2778
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 |
|---|---|---|---|
| LSW.0009926362 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1104719632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N GRANT ST # 5089",
"city": "DENVER",
"state": "CO",
"postal_code": "802031859",
"telephone_number": "970-825-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 JOHN F KENNEDY PKWY STE 310",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252658",
"telephone_number": "970-825-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MAXFIELD",
"middle_name": "MICHAEL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009926362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.