Leonardo A Martinez, LCSW, CADCII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102112 Issued in CA

Practice address

148 Oxburough Dr
Folsom, CA 95630-3500

Phone

(925) 405-7653

NPI assigned

Dec 1, 2014

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1740687185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 OXBUROUGH DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303500",
            "telephone_number": "925-405-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 OXBUROUGH DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303500",
            "telephone_number": "925-405-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 Diamond Blvd",
            "address_2": "Ste. 500",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205750",
            "country_code": "US",
            "telephone_number": "925-483-2223",
            "fax_number": "925-826-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LEONARDO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW, CADCII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CADCA I42040814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmartinez@lionrockrecovery.com",
            "affiliation": "Y",
            "endpointDescription": "Business Secured Email",
            "affiliationName": "Lionrock Behavioral Health, Inc",
            "address_1": "148 Oxburough Dr",
            "city": "Folsom",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956303500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorina Lynn Martin, OTRL
• Genoa Marleena Martin, DPT
• Maritza Martinez Hernandez
• Shelly Martinez-Valdez
• Jon Martinez
• Maritza Martinez
• Sylvia Marx, P.A-C
• Abigail Theresa Masbrata, DDS
• Jaime Mash, M.D.
• Alexandra Masi, LMFT

• Clinical Social Worker in Folsom, CA
• Providers in Folsom, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.