Individual provider Active NPI

Ashley Martinez, LCSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1851935498
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2024-0037 Issued in NM
Practice address
9400 Holly Ave NE BLDG 4
Albuquerque, NM 87122-2969
Phone
(505) 933-1978
Fax
(575) 339-2780
NPI assigned
Nov 6, 2019
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2024-0037 NM Primary

Addresses

Primary practice location

9400 Holly Ave NE BLDG 4
Albuquerque, NM 87122-2969

Mailing address

9400 Holly Ave NE BLDG 4
Albuquerque, NM 87122-2969
Phone (505) 933-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002068 NM Practitioner - Clinical Social Worker 7517302151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewnm Therapy, IncGroup PAC ID 6901243088, 5 clinicians

Practice addresses (Care Compare)

4801 Lang Ave NE
Suite 110
Albuquerque, NM 87109-4475
Phone (505) 633-3183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waves Behavioral Health CurrentSince Jan 22, 2024 Accepting new patients
Renewnm Therapy, Inc. CurrentSince Dec 7, 2024 Accepting new patients

Locations

4801 Lang Ave NE
Ste 110
Albuquerque, NM 87109
Phone (505) 633-3183

6330 Riverside Plaza Ln NW
Ste 210
Albuquerque, NM 87120
Phone (505) 207-8580

9400 Holly Ave NE
Bldg 4
Albuquerque, NM 87122
Phone (505) 336-0403

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1851935498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 HOLLY AVE NE BLDG 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222969",
            "telephone_number": "505-933-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 HOLLY AVE NE BLDG 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222969",
            "telephone_number": "505-933-1978",
            "fax_number": "575-339-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-0037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.