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NPI Code Detail

MEDICARE: JASMIN MARTINEZ LCSW

MEDICARE: JASMIN 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
1104100000XSocial WorkerASW62497CA
21041C0700XClinical Social WorkerLCSW96043CA

General Provider Information

NPI Number : 1962700310
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN MARTINEZ LCSW
Provider Business Mailing Address
First Line : 3200 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-5062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-5062
Country : US
Telephone Number : 323-687-1226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 03/08/2021

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Directions to “ JASMIN MARTINEZ LCSW” Practice Location

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