Individual provider Active NPI

Tammy J. Martinez

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1629755822
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2024-1123 Issued in NM
Practice address
525 2ND St SW
Albuquerque, NM 87102-3831
Phone
(505) 585-3882
Fax
(505) 407-8375
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2024-1123 NM Primary

Addresses

Primary practice location

525 2ND St SW
Albuquerque, NM 87102-3831

Mailing address

8815 Tradewind Rd NW
Albuquerque, NM 87121-7021
Phone (505) 604-1244

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
SWB-2024-1123NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up New Mexico Behavioral Health LLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

525 2nd St SW
Albuquerque, NM 87102
Phone (505) 585-3882

Organizations & group practices 1

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1629755822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 TRADEWIND RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871217021",
            "telephone_number": "505-604-1244",
            "fax_number": "505-407-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 2ND ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023831",
            "telephone_number": "505-585-3882",
            "fax_number": "505-407-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TAMMY",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 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.