BRENDA MARTINEZ ACSW 104697 NPI 1487181566

NPI Information

NPI: 1487181566
Provider Name: BRENDA MARTINEZ, ACSW 104697
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
108 W VICTORIA ST
GARDENA, CA
ZIP 90248
Phone: (310) 715-2020
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Brenda Martinez, ACSW 104697 is a mental health counselor in Gardena, CA. Brenda Martinez, ACSW 104697 NPI is 1487181566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 W VICTORIA ST
GARDENA, CA
ZIP 90248-523
Phone: (310) 715-2020

The enumeration date for this NPI number is 5/19/2017 and was last updated on 10/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker			CALIFORNIA	No
2	225400000X	Rehabilitation Practitioner			CALIFORNIA	No
3	101YM0800X	Counselor	Mental Health	104697	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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