Healthcare Provider Details

I. General information

NPI: 1407243371
Provider Name (Legal Business Name): BELINDA MARTINEZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2015
Last Update Date: 11/27/2023
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 S GRANT AVE
COLUMBUS OH
43215-5537
US

IV. Provider business mailing address

360 S GRANT AVE
COLUMBUS OH
43215-5537
US

V. Phone/Fax

Practice location:
  • Phone: 614-398-3070
  • Fax: 614-340-3083
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1803127
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: