Individual provider Active NPI

Danielle Martinez, LMSW

  • Social Worker
  • Topeka, KS
National Provider Identifier
1902292592
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9406 Issued in KS
Practice address
419 SW 29TH St
Topeka, KS 66611-1105
Phone
(785) 409-6801
Fax
(785) 266-3428
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 9406 KS Primary

Addresses

Primary practice location

419 SW 29TH St
Topeka, KS 66611-1105

Mailing address

21350 W 153Rd St
Olathe, KS 66061-5413
Phone (913) 322-4950

Other practice location 1

105 W 7th St
Pittsburg, KS 66762-3807
Phone (913) 222-4921

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9406KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KVC Behavioral Healthcare CurrentSince Sep 20, 2020 Accepting new patients
KVC Behavioral Healthcare Inc Social Worker PastSince Sep 20, 2020 Accepting new patients

Locations

419 SW 29th St
Topeka, KS 66611
Phone (785) 409-6801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1902292592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615413",
            "telephone_number": "913-322-4950",
            "fax_number": "785-266-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111105",
            "telephone_number": "785-409-6801",
            "fax_number": "785-266-3428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667623807",
            "country_code": "US",
            "telephone_number": "913-222-4921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.