Provider Demographics
NPI:1174499594
Name:MARTINEZ, GUADALUPE A (MSW (CSW-INTERN))
Entity type:Individual
Prefix:MRS
First Name:GUADALUPE
Middle Name:A
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MSW (CSW-INTERN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 STOKER AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5031
Mailing Address - Country:US
Mailing Address - Phone:775-354-4935
Mailing Address - Fax:
Practice Address - Street 1:430 STOKER AVE STE 105
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5031
Practice Address - Country:US
Practice Address - Phone:775-354-4935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12584-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical