Active NPI
Maria Jessica Miramon Martinez, SW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1679295125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9615-M
- Practice address
- 850 Mill St Ste 100
Reno, NV 89502-1463 - Phone
- (775) 538-6700
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9615-M | NV | Primary |
Addresses
Primary practice location
850 Mill St Ste 100
Reno, NV 89502-1463
Mailing address
1942 Four Iron CT
Fernley, NV 89408-6620
Other practice location 1
5412 Boulder Hwy
Las Vegas, NV 89122-6039
Phone (702) 291-7121
Other practice location 2
3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300
Other practice location 3
315 Record St Ste 100
Reno, NV 89512-3327
Phone (775) 405-4111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9615-M | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1679295125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1942 FOUR IRON CT",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894086620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 MILL ST STE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895021463",
"telephone_number": "775-538-6700"
}
],
"practiceLocations": [
{
"address_1": "5412 Boulder Hwy",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891226039",
"country_code": "US",
"telephone_number": "702-291-7121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3312 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021829",
"country_code": "US",
"telephone_number": "702-971-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 Record St Ste 100",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895123327",
"country_code": "US",
"telephone_number": "775-405-4111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRAMON MARTINEZ",
"first_name": "MARIA",
"middle_name": "JESSICA",
"credential": "SW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "9615-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.