Individual provider Active NPI

Carmen Martinez Tittmann, MA LPCC LMSW

  • Social Worker
  • Corrales, NM
National Provider Identifier
1740356377
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M2126 Issued in NM
Practice address
4686 Corrales Rd
Corrales, NM 87048
Phone
(505) 890-3327
Fax
(505) 898-6327
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1587 NM
Social Worker 104100000X M2126 NM Primary
Marriage & Family Therapist 106H00000X 1587 NM

Addresses

Primary practice location

4686 Corrales Rd
Corrales, NM 87048

Mailing address

PO Box 3204
Corrales, NM 87048
Phone (505) 890-3327

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
M2126NMMDSocial Worker
1587NMMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740356377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3204",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "505-890-3327",
            "fax_number": "505-898-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "505-890-3327",
            "fax_number": "505-898-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ TITTMANN",
        "first_name": "CARMEN",
        "credential": "MA LPCC LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1587",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M2126",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "1587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.