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NPI Code Detail

MEDICARE: WHITNEY LYNN MARTINEZ LSW

MEDICARE: WHITNEY LYNN MARTINEZ LSW
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 Worker1525WY
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1770961062
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY LYNN MARTINEZ LSW
Provider Business Mailing Address
First Line : 1208 HILLTOP DR STE 103
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5858
Country : US
Telephone Number : 307-212-8014
Fax Number : 307-224-2128
Provider Business Practice Location Address
First Line : 1208 HILLTOP DR STE 103
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5858
Country : US
Telephone Number : 307-212-8014
Fax Number : 307-224-2128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2015
Last Update Date : 11/08/2025

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Directions to “ WHITNEY LYNN MARTINEZ LSW” Practice Location

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