Active NPI
Virginia Martinez, LCSW
- Clinical Social Worker
- El Paso, TX
National Provider Identifier
1780940676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23046
- Practice address
- 4824 Alberta Ave
Suite 210
El Paso, TX 79905-2725 - Phone
- (915) 521-7936
- Fax
- (915) 521-7003
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23046 | TX | Primary |
Addresses
Primary practice location
4824 Alberta Ave
Suite 210
El Paso, TX 79905-2725
Mailing address
5959 Gateway Blvd W
Suite 120
El Paso, TX 79925-3331
Phone (915) 774-5592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23046 | Other | TX | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23046 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1780940676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "SUITE 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-774-5592",
"fax_number": "915-771-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 ALBERTA AVE",
"address_2": "SUITE 210",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052725",
"telephone_number": "915-521-7936",
"fax_number": "915-521-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "VIRGINIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "23046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "23046",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.