Wynetta Renee Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS24409 Issued in CA

Practice address

9727 Elk Grove Florin Rd Ste 115
Elk Grove, CA 95624-2265

Phone

(916) 400-0505

Fax

(916) 848-0511

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• W. Renee Martin Licensed Clinical Social Worker

  • Clinical Social Worker
  • Elk Grove, CA
  • NPI 1578104329
  NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1255533220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 GOLD MEADOW WAY STE 110",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706330",
            "telephone_number": "916-400-0505",
            "fax_number": "916-848-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD STE 115",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242265",
            "telephone_number": "916-400-0505",
            "fax_number": "916-848-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Douglas Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613991",
            "country_code": "US",
            "telephone_number": "916-400-0505",
            "fax_number": "916-848-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2356 Gold Meadow Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "Gold River",
            "state": "CA",
            "postal_code": "956706330",
            "country_code": "US",
            "telephone_number": "916-400-0505",
            "fax_number": "916-848-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WYNETTA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8247 E. Stockton Blvd",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marriage and Family Therapy for the Integration of Healing Counselin
• Deni Deutsch Marshall, LCSW
• Maria Elena Marticorena, LCSW
• Sally Martin
• Tamela Martin
• Cozann Y Martindale, BA
• Stephanie Martinez Navarro
• Alexia Martinez
• Alyssa Martinez
• Carlos Miguel Martinez

• Clinical Social Worker in Elk Grove, CA
• Providers in Elk Grove, 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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.