Kevin Alan Martinez in Fort Sumner - Clinical
Kevin Alan Martinez - NPI 1225183908
Kevin Alan Martinez is a Clinical in Fort Sumner, New Mexico. Kevin Alan Martinez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Alan Martinez is 1225183908. The last update date is 2015-11-25.
Kevin Alan Martinez's current location address is Po Box 349, Fort Sumner, New Mexico. You can contact this provider via phone number 5753552420 and fax number 5753557894. The mailing address for Kevin Alan Martinez is Po Box 349, Fort Sumner, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Alan Martinez |
|---|---|
| Address | Po Box 349, Fort Sumner, New Mexico |
| Phone Number | 5753552420 |
| Fax Number | 5753557894 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1225183908 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
| Address | Po Box 349 |
|---|---|
| City | Fort Sumner |
| State | New Mexico (NM) |
| Post Code | 881190349 |
| Phone Number | 5753552420 |
| Fax Number | 5753557894 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-08098 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74705075 | NM | -- |
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What is the unique 10-digit identifier code assigned to Kevin Alan Martinez by the Centers for Medicare & Medicaid Services?
The Kevin Alan Martinez has been issued the NPI (National Provider Identifier) 1225183908 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kevin Alan Martinez located?
The Kevin Alan Martinez is located at Po Box 349, Fort Sumner, NM 881190349.
What is Kevin Alan Martinez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin Alan Martinez is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225183908 to Kevin Alan Martinez?
The Centers for Medicare & Medicaid Services assigned the 1225183908 to Kevin Alan Martinez on 2007-01-24.
As of what date were the Kevin Alan Martinez's details last updated?
The information pertaining to the Kevin Alan Martinez, including its address, specialty, and other details, was most recently updated on 2015-11-25.
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