Erin Martinache Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ERIN MARTINACHE LICSW, LLC

Practice address

2146 W Railroad Ave
Shelton, WA 98584-7126

Phone

(360) 463-5015

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Erin Martinache, LICSWNPI 1003212770

Title

Owner

Phone

(360) 485-7541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Martinache, LICSW

  • Clinical Social Worker
  • Shelton, WA
  • NPI 1003212770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1225749401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 W RAILROAD AVE # 4",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847126",
            "telephone_number": "360-463-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN MARTINACHE LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "MARTINACHE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-485-7541",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Alejandro Elisarraraz
• Maegann Marie Elroy
• Erica Encarnacion, LMFTA
• Tiffany English
• Wesley Emrys Erickson, LMT
• Damon Joseph Ernst, DC
• Jessica Evans, COTA/L
• Evergreen at Shelton, L.L.C.
• Exceptional Foresters, Inc.
• Tina Fenn

• Clinical Social Worker in Shelton, WA
• Providers in Shelton, 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 Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.