Doctor Name: | LUSIA MARTINEZ |
NPI Number: | 1053715821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ASW |
License Number: | 37285 |
Business Practice Address: | 365 Pearson Dr Porterville, CA - 932573360 |
Business Phone Number: | 5593590286 |
Business Fax Number: | |
Mailing Address: | Po Box 11011, TERRA BELLA |
State: | CA |
Postal Code: | 932701011 |
Phone Number: | 5593590286 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2014 |
NPI Last Update Date: | 10/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 37285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |