Chasstiry Vazquez Martinez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10407-C Issued in NV

Practice address

2500 Chandler Ave Ste 3
Las Vegas, NV 89120-4064

Phone

(725) 204-8809

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chasstiry Vazquez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• FDV Wellness Center

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1134813991
  NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1801428602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 FALLEN ROCK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842582",
            "telephone_number": "702-378-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHANDLER AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204064",
            "telephone_number": "725-204-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CHASSTIRY",
        "middle_name": "VAZQUEZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10407-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASSTIRY",
            "last_name": "VAZQUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmen Martinez
• Carmen E Martinez
• Catherine Hope Martinez, LSW
• Celia Martinez
• Cesar Martinez
• Christian Andre Martinez
• Christina Martinez, APRN
• Christina Martinez
• Christina Martinez
• Christopher James Martinez, DMD

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.