Individual provider Active NPI

Stephanie Ashley Martinez, LCSW

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1922814011
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104368 Issued in TX
Practice address
100 E San Antonio St Ste 101
San Marcos, TX 78666-5568
Phone
(512) 596-5805
NPI assigned
Dec 4, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104368 TX Primary

Addresses

Primary practice location

100 E San Antonio St Ste 101
San Marcos, TX 78666-5568

Mailing address

100 E San Antonio St Ste 101
San Marcos, TX 78666-5568
Phone (512) 596-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250417001147 TX Practitioner - Clinical Social Worker 9335664861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Center for Counseling and Pastoral Care, Inc.Group PAC ID 0244265130, 11 clinicians

Practice addresses (Care Compare)

8956 Research Blvd
BLDG 2
Austin, TX 78758-5969
Phone (512) 451-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104368TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Center for Counseling and Pastoral Care, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Lavender Space, Inc Clinical CurrentSince Dec 22, 2024 Accepting new patients

Locations

8956 Research Blvd
Bldg 2
Austin, TX 78758
Phone (512) 451-7337

100 E San Antonio St
Ste 101
San Marcos, TX 78666
Phone (512) 596-5805

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, 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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1922814011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAN ANTONIO ST STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665568",
            "telephone_number": "512-596-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAN ANTONIO ST STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665568",
            "telephone_number": "512-596-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STEPHANIE",
        "middle_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.