Martha L Vallejo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10783 Issued in FL

Practice address

1550 Madruga Ave Ste 307
Coral Gables, FL 33146-3066

Phone

(786) 399-6764

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1508117706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE 135TH ST APT 3J",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813572",
            "telephone_number": "786-399-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE STE 307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463066",
            "telephone_number": "786-399-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "MARTHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ineabelle Valladares, MS
• Dario Antonio Vallarino de Sanctis, M.D.
• Anamari P. Valle, L.M.T
• Annett Valle
• Melanie Valle
• Rachel Vallejo, M.D.
• Araisy Vara
• Hernan J. Varela, MD
• Julian Varela, ATC, CSCS
• Alina Vargas

• Clinical Social Worker in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.