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NPI Code Detail

MEDICARE: LIZETTE KARINA MARTINEZ LCSW

MEDICARE: LIZETTE KARINA MARTINEZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker117547CA
2390200000XStudent in an Organized Health Care Education/Training Program
3171M00000XCase Manager/Care Coordinator
41041C0700XClinical Social Worker136701CA

General Provider Information

NPI Number : 1457003782
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZETTE KARINA MARTINEZ LCSW
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2022
Last Update Date : 02/02/2026

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