MEDICARE: MELINA SANCHEZ MARTINEZ

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
1	1041C0700X	Clinical Social Worker	IC1872	NV
2	106S00000X	Behavior Technician
3	1041C0700X	Clinical Social Worker	11777-C	NV

General Provider Information

NPI Number	:	1962786384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINA SANCHEZ MARTINEZ

Provider Business Mailing Address
First Line	:	4000 S EASTERN AVE STE 240
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0847
Country	:	US
Telephone Number	:	702-848-1696
Fax Number	:

Provider Business Practice Location Address
First Line	:	4344 W CHEYENNE AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-2484
Country	:	US
Telephone Number	:	702-675-6314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	06/20/2025

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Directions to “ MELINA SANCHEZ MARTINEZ ” Practice Location

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