Erin Katharine Martinez, LMSW
Social Worker, Clinical in Cannon Air Force Base, NM. Individual provider (NPI-1).
NPI number1982166575
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1982166575
- Entity type
- Individual (NPI-1)
- Name
- Erin Katharine Martinez
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Nov 8, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C-11287 | NM | Yes |
| 1041C0700X | Social Worker, Clinical | 011700 | CT | |
| 104100000X | Social Worker | M-010234 | NM |
Practice location
224 W Dl IngramCannon Air Force Base, NM 88101
Phone 575-781-1108
Mailing address
224 West Dl Ingram AveCannon Air Force Base, NM 88101-5508
Phone 575-784-1108
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Cannon Air Force Base, NM
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.