Shariliz Martinez

Key facts

NPI

1306102017

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

1160 Whitney St
Burns Harbor, IN 46304-9674

Phone

(219) 973-6807

NPI assigned

Apr 6, 2012

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Intouch Mind Health LLC Clinical Social Worker · Chicago, IL · NPI 1295348621
  NPD (past) SOCIAL WORKER

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2012.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1306102017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 WHITNEY ST",
            "city": "BURNS HARBOR",
            "state": "IN",
            "postal_code": "463049674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 WHITNEY ST",
            "city": "BURNS HARBOR",
            "state": "IN",
            "postal_code": "463049674",
            "telephone_number": "219-973-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SHARILIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burns Harbor, IN

• Jaclyn Clarke
• Jami Lynn Crisman, DNP
• Syenicka T Jackson
• Rachel Christine Kelley, RDH, LDH, BSDH
• Thaddeus Thomas Linen Jr.
• Occupational Health Centers of the Southwest PA
• Nancy Spiegla
• Town of Burns Harbor
• Tiffany L Vargas, CPSP
• Beth Voorhis, PTA

All providers in Burns Harbor, IN · Social Worker in Indiana