Active NPI
Manuel A. Martinez III, LMSW
- Social Worker
- Silver City, NM
National Provider Identifier
1720587058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-10105
- Practice address
- 3082 32ND Street Byp
Silver City, NM 88061 - Phone
- (575) 538-2061
- Fax
- (575) 538-5742
- NPI assigned
- Feb 1, 2018
- Last updated
- Mar 20, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M-10105 | NM | Primary |
Addresses
Primary practice location
3082 32ND Street Byp
Silver City, NM 88061
Mailing address
700 N Bullard St
Silver City, NM 88061-5413
Other practice location 1
2039 Cottage San Rd
Silver City, NM 88061-8968
Phone (575) 654-2919
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 |
|---|---|---|---|
| M-10105 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma and Recovery Centers | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Silver City, NM
- NPI 1629560198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1720587058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N BULLARD ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 32ND STREET BYP",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "88061",
"telephone_number": "575-538-2061",
"fax_number": "575-538-5742"
}
],
"practiceLocations": [
{
"address_1": "2039 Cottage San Rd",
"address_purpose": "LOCATION",
"city": "Silver City",
"state": "NM",
"postal_code": "880618968",
"country_code": "US",
"telephone_number": "575-654-2919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MANUEL",
"middle_name": "A.",
"name_suffix": "III",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-01",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-10105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.