Jorge Alejandro Martinez, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73682 Issued in CA

Practice address

41750 Rancho Las Palmas Dr Ste O-2
Rancho Mirage, CA 92270-5515

Phone

(760) 323-6511

NPI assigned

Jul 16, 2009

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1134359839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR STE O-2",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR STE O-2",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705515",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JORGE",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "28846",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reg'Shon Nathaniel Martin
• Reginald Daniel Martin Jr.
• Kelvin Martinez Garcia, MD
• Gisselle Martinez Vizcaya
• Araceli Martinez
• Monsetrrat Martinez
• Patricia Herman Martinez, NP
• Dana Martino, FNP-BC
• Soujanya Marupuru, MD
• Mary a Howell MD a Medical Corporation

• Clinical Social Worker in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.