Active NPI
Patricia A. Martinez, LBSW
- Social Worker
- Taos, NM
National Provider Identifier
1265564611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- B1711
- Practice address
- 1331 Gusdorf Road
Taos, NM 87571 - Phone
- (505) 758-9412
- Fax
- (505) 751-4688
- NPI assigned
- Mar 12, 2007
- 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 | B1711 | NM | Primary |
Addresses
Primary practice location
1331 Gusdorf Road
Taos, NM 87571
Mailing address
7119 Ndcbu
Taos, NM 87571-6269
Phone (505) 758-1129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1711 | Other | NM | BACHELOR SOCIAL WORK |
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 |
|---|---|---|---|
| B1711 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265564611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 NDCBU",
"city": "TAOS",
"state": "NM",
"postal_code": "875716269",
"telephone_number": "505-758-1129",
"fax_number": "505-751-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 GUSDORF ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-9412",
"fax_number": "505-751-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "PATRICIA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "B1711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACHELOR SOCIAL WORK",
"identifier": "B1711",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.