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NPI Code Detail

MEDICARE: VICTOR MARTINEZ ASW

MEDICARE: VICTOR MARTINEZ ASW
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
1101YM0800XMental Health CounselorASW84821CA
2390200000XStudent in an Organized Health Care Education/Training ProgramCA
31041C0700XClinical Social Worker104584CA

General Provider Information

NPI Number : 1518411685
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR MARTINEZ ASW
Provider Business Mailing Address
First Line : 865 LIGHTHOUSE AVE
Second Line : D
City : PACIFIC GROVE
State : CA
Zip : 93950-2530
Country : US
Telephone Number : 831-596-3448
Fax Number :
Provider Business Practice Location Address
First Line : 855 WEST LAUREL DRIVE
Second Line : H
City : SALINAS
State : CA
Zip : 93906-3122
Country : US
Telephone Number : 831-796-1376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2016
Last Update Date : 09/23/2022

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Directions to “ VICTOR MARTINEZ ASW” Practice Location

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