Individual provider Active NPI

Karina Martinez

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1396355707
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129315 Issued in CA
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

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4763MedicaidCA

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

LicenseStateTypeSpecialty
129315CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Youth Care Homes, Inc. CurrentSince Jun 8, 2025 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Jun 8, 2025 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Jan 1, 2024 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.

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.

Verify at the official NPI Registry.