Individual provider Active NPI

Mina Martinez, LCSW

  • Clinical Social Worker
  • Buda, TX
National Provider Identifier
1457279945
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109669 Issued in TX
Practice address
163 Diamondback CV
Buda, TX 78610-5199
Phone
(512) 350-0881
NPI assigned
Jul 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 109669 TX Primary

Addresses

Primary practice location

163 Diamondback CV
Buda, TX 78610-5199

Mailing address

163 Diamondback CV
Buda, TX 78610-5199

Other practice location 1

8701 Menchaca Rd Ste 102
Austin, TX 78748-5383
Phone (512) 596-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1457279945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 DIAMONDBACK CV",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786105199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 DIAMONDBACK CV",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786105199",
            "telephone_number": "512-350-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Menchaca Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485383",
            "country_code": "US",
            "telephone_number": "512-596-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

Verify at the official NPI Registry.