Darlene M Martinez, LBSW

Individual provider Active NPI School Social Worker · Bloomfield, NM

NPI 1881015972 · NPPES record last updated Dec 17, 2013

Key facts

NPI
1881015972
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
264639 (NM)
Practice address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone
(505) 632-4389
Fax
(505) 632-4371
NPI assigned
Dec 17, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
264639NMMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 264639 NM Yes

Addresses

Primary practice location

325 N Bergin LN
Bloomfield, NM 87413-6729

Mailing address

325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 632-4389

Other names

  • Darlene M Chacon Former name

Other providers in Bloomfield, NM

All providers in Bloomfield, NM · School Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.