Active NPI
Tesha Martinez, LMSW
- Clinical Social Worker
- Taos, NM
National Provider Identifier
1992187298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 105 Paseo del Canon W Ste a
Taos, NM 87571-6943 - Phone
- (575) 737-5533
- NPI assigned
- Jun 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
105 Paseo del Canon W Ste a
Taos, NM 87571-6943
Mailing address
105 Paseo del Canon W Ste a
Taos, NM 87571-6943
Phone (575) 737-5533
Other practice location 1
Rd 68 mile Maker 11 County Road 49
Private Dr 1098
Velarde, NM 87582
Phone (505) 852-2580
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1992187298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PASEO DEL CANON W STE A",
"city": "TAOS",
"state": "NM",
"postal_code": "875716943",
"telephone_number": "575-737-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PASEO DEL CANON W STE A",
"city": "TAOS",
"state": "NM",
"postal_code": "875716943",
"telephone_number": "575-737-5533"
}
],
"practiceLocations": [
{
"address_1": "Rd 68 mile Maker 11 County Road 49",
"address_2": "Private Dr 1098",
"address_purpose": "LOCATION",
"city": "Velarde",
"state": "NM",
"postal_code": "87582",
"country_code": "US",
"telephone_number": "505-852-2580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TESHA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.