Individual provider Active NPI

Nicole E Martinez-Romero, LBSW

  • School Social Worker
  • Clovis, NM
National Provider Identifier
1114752672
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
B-11114 Issued in NM
Practice address
1009 N Main St
Clovis, NM 88101-5932
Phone
(575) 769-4490
Fax
(575) 769-4330
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X B-11114 NM Primary

Addresses

Primary practice location

1009 N Main St
Clovis, NM 88101-5932

Mailing address

PO Box 19000
Clovis, NM 88102-9000
Phone (575) 769-4490

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
B-11114NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clovis Municipal Schools PastSince Sep 8, 2024 Accepting new patients

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1114752672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19000",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881029000",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015932",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-ROMERO",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "B-11114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.