Individual provider Active NPI

Nohemi Castaneda Martinez

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1730503426
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88812 Issued in CA
Practice address
2227 Capricorn Way Ste 207-208
Santa Rosa, CA 95407-5478
Phone
(707) 565-1252
NPI assigned
Feb 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW60207 CA
Clinical Social Worker 1041C0700X 88812 CA Primary

Addresses

Primary practice location

2227 Capricorn Way Ste 207-208
Santa Rosa, CA 95407-5478

Mailing address

2227 Capricorn Way Ste 207-208
Santa Rosa, CA 95407-5478
Phone (707) 565-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW60207CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1730503426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY STE 207-208",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075478",
            "telephone_number": "707-565-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY STE 207-208",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075478",
            "telephone_number": "707-565-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA MARTINEZ",
        "first_name": "NOHEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW60207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.