Provider Demographics
NPI:1073954939
Name:MARTINEZ, CECILIA
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5427 WOODARD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5286
Mailing Address - Country:US
Mailing Address - Phone:661-247-3809
Mailing Address - Fax:
Practice Address - Street 1:3250 COFFEE ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308
Practice Address - Country:US
Practice Address - Phone:661-247-3809
Practice Address - Fax:833-419-0181
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1023061041C0700X
CAASW673981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical