Active NPI
Renee Martinez-Candelaria, SW
- School Social Worker
- Albuquerque, NM
National Provider Identifier
1346392198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- M 04692
- Practice address
- 1510 Ellison Dr NW
Cibola HS
Albuquerque, NM 87114-5101 - Phone
- (505) 897-0110
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | M 04692 | NM | Primary |
Addresses
Primary practice location
1510 Ellison Dr NW
Cibola HS
Albuquerque, NM 87114-5101
Mailing address
1510 Ellison Dr NW
Cibola HS
Albuquerque, NM 87114-5101
Phone (505) 897-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74189751 | Medicaid | NM |
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 |
|---|---|---|---|
| M 04692 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346392198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 ELLISON DR NW",
"address_2": "CIBOLA HS",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145101",
"telephone_number": "505-897-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 ELLISON DR NW",
"address_2": "CIBOLA HS",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145101",
"telephone_number": "505-897-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-CANDELARIA",
"first_name": "RENEE",
"credential": "SW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "M 04692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74189751",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- Miguel Angel Martinez Moreira
- Sebastian Martinez Rimbert
- Alberto Josue Martinez Vasquez, MD
- Nayeli Martinez Villegas
- Shawntell Martinez Y Cantu
- Ariana Amaris Martinez-Davila
- Andrea Lynda Martinez-Fisher, M.A. CCC-SLP
- Erika Nicole Martinez-Gonzales
- Marifer Martinez-Lujan, DDS
- Joan M Martinez-Maguire, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.