| Kevin Alan Martinez, LISW | |
|
546 N 10th Street, Fort Sumner, NM 88119-0349 | |
| (575) 355-2420 | |
| (575) 355-7894 |
| Full Name | Kevin Alan Martinez |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 546 N 10th Street, Fort Sumner, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225183908 | NPI | - | NPPES |
| 74705075 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-08098 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Alan Martinez, LISW Po Box 349, 546 North 10th St, Fort Sumner, NM 88119-0349 Ph: (575) 355-2420 | Kevin Alan Martinez, LISW 546 N 10th Street, Fort Sumner, NM 88119-0349 Ph: (575) 355-2420 |
Ms. Sheila A Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 546 N 10th Street, Fort Sumner, NM 88119 Phone: 575-355-2414 Fax: 575-355-7894 | |
Shantell Moyers, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 East Sumner Ave, Fort Sumner, NM 88119 Phone: 575-355-7734 |