Active NPI
Annette Hernandez Martinez, LCSW, LCDC, CEAP,SAP
- Clinical Social Worker
- Pearland, TX
National Provider Identifier
1902034747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31090
- Practice address
- 2245 N Main St
Pearland, TX 77581-4144 - Phone
- (409) 996-3131
- NPI assigned
- Jul 1, 2009
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5645 | TX | |
| Clinical Social Worker | 1041C0700X | 31090 | TX | Primary |
Addresses
Primary practice location
2245 N Main St
Pearland, TX 77581-4144
Mailing address
34 Prairie Knoll Dr
Santa Fe, TX 77510-8145
Phone (409) 996-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31090 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1902034747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PRAIRIE KNOLL DR",
"city": "SANTA FE",
"state": "TX",
"postal_code": "775108145",
"telephone_number": "409-996-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 N MAIN ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775814144",
"telephone_number": "409-996-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANNETTE",
"middle_name": "HERNANDEZ",
"name_prefix": "Mrs.",
"credential": "LCSW, LCDC, CEAP,SAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "5645",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "31090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.