Active NPI
Magdalene Nicole Martinez
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1255819959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127103
- Practice address
- 154 Santa Clara Ave Ste 7
Oakland, CA 94610-1323 - Phone
- (929) 382-4896
- NPI assigned
- Aug 3, 2018
- Reactivated
- Dec 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104246 | NY | |
| Clinical Social Worker | 1041C0700X | 127103 | CA | Primary |
Addresses
Primary practice location
154 Santa Clara Ave Ste 7
Oakland, CA 94610-1323
Mailing address
154 Santa Clara Ave Ste 7
Oakland, CA 94610-1323
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104246 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1255819959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 SANTA CLARA AVE STE 7",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 SANTA CLARA AVE STE 7",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101323",
"telephone_number": "929-382-4896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MAGDALENE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"deactivation_date": "2018-12-14",
"reactivation_date": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104246",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "127103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.