Organization Active NPI

Life Transformation Therapy PLLC

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1760270581
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE TRANSFORMATION THERAPY PLLC
Practice address
819 S Auburn St
Kennewick, WA 99336-5661
Phone
(509) 366-1484
Fax
(509) 231-8400
NPI assigned
Apr 30, 2025
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Alejandra Martinez-Cardoso, LICSWNPI 1679155501
Title
Owner
Phone
(509) 366-1484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

819 S Auburn St
Kennewick, WA 99336-5661

Mailing address

819 S Auburn St
Kennewick, WA 99336-5661
Phone (509) 366-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303003813 WA Part B Supplier - Clinic/Group Practice 1759899974 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

819 S Auburn St
#B
Kennewick, WA 99336
Phone (509) 366-1484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1760270581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365661",
            "telephone_number": "509-366-1484",
            "fax_number": "509-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365661",
            "telephone_number": "509-366-1484",
            "fax_number": "509-231-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSFORMATION THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-CARDOSO",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-366-1484",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.