Individual provider Active NPI

Carmen Therese Martsh, SW

  • School Social Worker
  • Albuquerque, NM
National Provider Identifier
1609904259
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
M 4667 Issued in NM
Practice address
10900 San Jacinto Ave NE
McCollum Es
Albuquerque, NM 87112-5414
Phone
(505) 298-5009
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M 4667 NM
School Social Worker 1041S0200X M 4667 NM Primary

Addresses

Primary practice location

10900 San Jacinto Ave NE
McCollum Es
Albuquerque, NM 87112-5414

Mailing address

10900 San Jacinto Ave NE
McCollum Es
Albuquerque, NM 87112-5414
Phone (505) 298-5009

Other identifiers 1

IdentifierTypeStateIssuer
94575282MedicaidNM

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
M 4667NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609904259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 SAN JACINTO AVE NE",
            "address_2": "MCCOLLUM ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125414",
            "telephone_number": "505-298-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 SAN JACINTO AVE NE",
            "address_2": "MCCOLLUM ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125414",
            "telephone_number": "505-298-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTSH",
        "first_name": "CARMEN",
        "middle_name": "THERESE",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M 4667",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M 4667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94575282",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.