Individual provider Active NPI

Alejandra Martinez-Cardoso, MSW, LICSW

  • Clinical Social Worker
  • Pasco, WA
National Provider Identifier
1679155501
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61523248 Issued in WA
Practice address
1608 Road 44
Pasco, WA 99301-2667
Phone
(509) 543-9820
NPI assigned
Apr 21, 2021
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 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 SC61169567 WA
Clinical Social Worker 1041C0700X LW61523248 WA Primary

Addresses

Primary practice location

1608 Road 44
Pasco, WA 99301-2667

Mailing address

1608 Road 44
Pasco, WA 99301-2667
Phone (509) 543-9820

Other practice location 1

8008 W Imnaha Ave
Kennewick, WA 99336-1615
Phone (509) 366-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306002781 WA Practitioner - Clinical Social Worker 4284155201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

1608 N Rd
Suite 44
Pasco, WA 99301-2667
Phone (509) 543-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC61169567WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Mar 1, 2025 Accepting new patients
Life Transformation Therapy PLLC Clinical CurrentSince Dec 10, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Mar 1, 2025 Accepting new patients

Locations

819 S Auburn St
#B
Kennewick, WA 99336
Phone (509) 366-1484

1608 Road 44
Pasco, WA 99301
Phone (509) 543-9280

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

1120 W Rose St
Walla Walla, WA 99362
Phone (509) 525-6650

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1679155501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROAD 44",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012667",
            "telephone_number": "509-543-9820",
            "fax_number": "509-545-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROAD 44",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012667",
            "telephone_number": "509-543-9820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8008 W Imnaha Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993361615",
            "country_code": "US",
            "telephone_number": "509-366-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-CARDOSO",
        "first_name": "ALEJANDRA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61169567",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61523248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.