Active NPI
Karina Martinez
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1396355707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 129315
- Practice address
- 64 E Weldon Ave
Fresno, CA 93704-5956 - Phone
- (559) 442-1947
- NPI assigned
- Aug 1, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 129315 | CA | Primary |
Addresses
Primary practice location
64 E Weldon Ave
Fresno, CA 93704-5956
Mailing address
10774 E Fountain VW
Clovis, CA 93619-4715
Phone (323) 605-6916
Other practice location 1
10774 E Fountain Vw
Clovis, CA 93619-4715
Phone (323) 605-6916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4763 | Medicaid | CA |
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 |
|---|---|---|---|
| 129315 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Youth Care Homes, Inc. | Current | Accepting new patients | |
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients | |
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1124784970
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1033875885
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1508410341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1396355707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10774 E FOUNTAIN VW",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936194715",
"telephone_number": "323-605-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 E WELDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937045956",
"telephone_number": "559-442-1947"
}
],
"practiceLocations": [
{
"address_1": "10774 E Fountain Vw",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936194715",
"country_code": "US",
"telephone_number": "323-605-6916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "KARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-01",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "129315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4763",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.