Active NPI
Christine Martinez-Guajardo, LMSW
- Social Worker
- Clovis, NM
National Provider Identifier
1205126364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-07548
- Practice address
- 1521 W 13TH St
Clovis, NM 88101-5568 - Phone
- (575) 769-0888
- NPI assigned
- Apr 11, 2011
- Last updated
- Apr 11, 2011
- Sex
- Female
- 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 | M-07548 | NM | Primary |
Addresses
Primary practice location
1521 W 13TH St
Clovis, NM 88101-5568
Mailing address
PO Box 843
Portales, NM 88130-0843
Phone (575) 356-6695
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-07548 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1205126364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843",
"city": "PORTALES",
"state": "NM",
"postal_code": "881300843",
"telephone_number": "575-356-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 W 13TH ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881015568",
"telephone_number": "575-769-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-GUAJARDO",
"first_name": "CHRISTINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-07548",
"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 Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.