Martin Josue Erives
Individual provider Active NPI School Social Worker · Aztec, NM
NPI 1639890890 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1639890890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- SWB-20220242 (NM)
- Practice address
- 1118 W Aztec Blvd
Aztec, NM 87410-1818 - Phone
- (505) 334-9474
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-20220242 | NM | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | SWB-20220242 | NM | Yes |
Addresses
Primary practice location
1118 W Aztec Blvd
Aztec, NM 87410-1818
Mailing address
1118 W Aztec Blvd
Aztec, NM 87410-1818
Phone (505) 334-9474
Other providers in Aztec, NM
- Renee Donaldson
- Amethyst R Douglas
- Megan Lora Dunovan
- Julianna Marie Duran
- James Golden Durfey
- Toni Marie Farquharson
- Echo Dashawn Favaloro
- Matthew Vidal Fernandez
- Focused Solutions Counseling, LLC
- Patricia Diane Fordyce-Montanari
All providers in Aztec, NM · School Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.