Kenneth J Martinez in Salt Lake City - Clinical
Kenneth J Martinez - NPI 1164492583
Kenneth J Martinez is a Clinical in Salt Lake City, Utah. Kenneth J Martinez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth J Martinez is 1164492583. The last update date is 2022-05-10.
Kenneth J Martinez's current location address is 1020 S Main St, Salt Lake City, Utah. You can contact this provider via phone number 8015397035. The mailing address for Kenneth J Martinez is 1020 S Main St, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J Martinez |
|---|---|
| Address | 1020 S Main St, Salt Lake City, Utah |
| Phone Number | 8015397035 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164492583 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2022-05-10 |
Provider Mailing Address Detail
| Address | 1020 S Main St |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841013176 |
| Phone Number | 8015397035 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1406413501 |
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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 |
|---|---|---|---|
| 942938348MA2 | UT | EDUCATORS MUTUAL | |
| R79728 | UT | MEDICARE ADVANTAGE PLANS | |
| 107001385101 | UT | INTRMTN HEALTH CARE | |
| 261919 | UT | DESERET MUTUAL | |
| 942938348 | UT | CHAMPUS | |
| X | UT | BLUE CROSS | |
| 3104013 | UT | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth J Martinez by the Centers for Medicare & Medicaid Services?
The Kenneth J Martinez has been assigned the NPI (National Provider Identifier) 1164492583 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth J Martinez is located?
The Kenneth J Martinez is situated at the following address: 1020 S Main St, Salt Lake City, UT, 841013176.
What is Kenneth J Martinez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth J Martinez is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164492583 to Kenneth J Martinez?
The Centers for Medicare & Medicaid Services assigned the 1164492583 to Kenneth J Martinez on 2006-01-26.
When was the information regarding Kenneth J Martinez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth J Martinez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-10.