Elizabeth Martinez, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-1400 Issued in WY

Practice address

1490 Gregory LN
Jackson, WY 83001-9021

Phone

(307) 734-6040

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth C. Martinez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Lupine Mental Health and Integrative Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, WY
  • NPI 1871103127
  NPD (past)
• Teton Behavior Therapy

  • Clinical Social Worker
  • Jackson, WY
  • NPI 1336072206
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1235799172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8324",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830028324",
            "telephone_number": "307-699-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 GREGORY LN",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019021",
            "telephone_number": "307-734-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 S Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "ID",
            "postal_code": "834555547",
            "country_code": "US",
            "telephone_number": "307-699-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELIZABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-41631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MARTINEZ",
            "middle_name": "C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brianna Mahoney
• Rebecca Manchester, RBT
• Mariposa Mental Health, LLC
• Henry Charles Marquardt, D.C.
• Jared Travis Martin
• Jenna Marton
• Courtney H Marvin, LCSW
• Mary C Neal, MD PC
• Charlotte K Mason, FNP
• Lauren Mayer

• Clinical Social Worker in Jackson, WY
• Providers in Jackson, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.