Active NPI
Terri Martinez, LCSW
- Clinical Social Worker
- Kings Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127061
- Practice address
- 8678 Cutthroat Ave
Kings Beach, CA 96143-1696 - Phone
- (530) 205-7311
- NPI assigned
- Nov 18, 2016
- Last updated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12072-C | NV | |
| Clinical Social Worker | 1041C0700X | 127061 | CA | Primary |
Addresses
Primary practice location
8678 Cutthroat Ave
Kings Beach, CA 96143-1696
Mailing address
PO Box 1696
Kings Beach, CA 96143-1696
Phone (530) 205-7311
Other practice location 1
11025 Pioneer Trl Unit 101B
Truckee, CA 96161-0250
Phone (530) 285-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12072-C | NV | MD | Clinical Social Worker |
| 127061 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
| Sud Specialty Group - Ca | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Granite Wellness Centers | Past | Accepting new patients | |
| Truckee Therapy Inc Licensed Clinical Social Worker | Past | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 4
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.
-
dba Rula Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Addiction (Substance Use Disorder)
-
dba Truckee Service Center
- Community/Behavioral Health Agency
- Truckee, CA
- NPI 1376727693
-
dba Truckee Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Truckee, CA
- NPI 1831814698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1861935108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1696",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961431696",
"telephone_number": "530-205-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8678 CUTTHROAT AVE",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961431696",
"telephone_number": "530-205-7311"
}
],
"practiceLocations": [
{
"address_1": "11025 Pioneer Trl Unit 101B",
"address_purpose": "LOCATION",
"city": "Truckee",
"state": "CA",
"postal_code": "961610250",
"country_code": "US",
"telephone_number": "530-285-3335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TERRI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12072-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "127061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kings Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.