Individual provider Active NPI

Maria Martinez

  • Social Worker
  • Hood River, OR
National Provider Identifier
1871893651
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L6340 Issued in OR
Practice address
1610 Woods CT
Hood River, OR 97031-2911
Phone
(541) 386-2620
NPI assigned
Oct 27, 2010
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X L6340 OR Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1610 Woods CT
Hood River, OR 97031-2911

Mailing address

1060 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-5452

Other practice location 1

1060 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-5452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: No
  • 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
I20141121001570 OR Practitioner - Clinical Social Worker 5597087882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6340ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Center for Living CurrentSince Jun 15, 2021 Accepting new patients
Mid-Columbia Center for Living Social Worker CurrentSince Sep 2, 2014 Accepting new patients
Mid-Columbia Center for Living PastSince Sep 2, 2014 Accepting new patients

Locations

1610 Woods Ct
Hood River, OR 97031
Phone (541) 386-2620

1060 Webber St
The Dalles, OR 97058

419 E 7th St
Ste 207
The Dalles, OR 97058

Organizations & group practices 3

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1871893651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WOODS CT",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312911",
            "telephone_number": "541-386-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Webber St",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970583749",
            "country_code": "US",
            "telephone_number": "541-296-5452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L6340",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.