Active NPI
Christina R Martinez-Clay, LCSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1942371562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6471
- Practice address
- 2440 Willamette St Ste 201
Eugene, OR 97405-3170 - Phone
- (541) 321-2278
- Fax
- (541) 246-8826
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06521 | IA | |
| Clinical Social Worker | 1041C0700X | 6471 | OR | |
| Clinical Social Worker | 1041C0700X | L6471 | OR | Primary |
Addresses
Primary practice location
2440 Willamette St Ste 201
Eugene, OR 97405-3170
Mailing address
175 W B St
Springfield, OR 97477-4575
Phone (541) 971-2871
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 |
|---|---|---|---|
| 06521 | IA | MD | Clinical Social Worker |
| 6471 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise Counseling Service, LLC. Dba Northlight Counseling | Clinical | Current | Accepting new patients |
Locations
2440 Willamette St
Ste 201
Eugene, OR 97405
Phone (541) 234-3090
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Eugene, OR
- NPI 1447715834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1942371562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W B ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774575",
"telephone_number": "541-971-2871",
"fax_number": "541-687-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 WILLAMETTE ST STE 201",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053170",
"telephone_number": "541-321-2278",
"fax_number": "541-246-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-CLAY",
"first_name": "CHRISTINA",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "06521",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "6471",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.