Ashley Martinez, LICSW, PMH-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW70001909 Issued in WA

Practice address

18204 A St S
Spanaway, WA 98387-8327

Phone

(360) 545-3458

NPI assigned

Jan 12, 2024

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moon Mama Therapy PLLC

  • Clinical Social Worker
  • Spanaway, WA
  • NPI 1083561161
  NPD Authorized official

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1154192722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18204 A ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18204 A ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878327",
            "telephone_number": "360-545-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ASHLEY",
        "credential": "LICSW, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.041063",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "118657",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW70001909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Mai, DDS
• Yun Suk Mann, NAC
• Heather Lea Marsh
• Dominique Martin-Mitchell, OTR/L
• Lindsay Elizabeth Martin
• Tate Keone Nobuo Masunaga, D.M.D.
• Laura L McDonald, RN
• Leonida Juana McGowan, RN, BSN
• Michelle McNamara
• Patricia Ann Medici, LMP

• Clinical Social Worker in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.