Healthcare Provider Details

I. General information

NPI: 1134008626
Provider Name (Legal Business Name): ASHLYE MARTINSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 KIETZKE LN # J212
RENO NV
89502-5033
US

IV. Provider business mailing address

4600 KIETZKE LN # J212
RENO NV
89502-5033
US

V. Phone/Fax

Practice location:
  • Phone: 775-348-9047
  • Fax: 775-348-9524
Mailing address:
  • Phone: 775-348-9047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number112338-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: