Provider Demographics
NPI:1184422586
Name:SANCHEZ MARTINEZ, JESUS (MSW LCSW)
Entity type:Individual
Prefix:
First Name:JESUS
Middle Name:
Last Name:SANCHEZ MARTINEZ
Suffix:
Gender:
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11731 MILLS DR STE 109
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4844
Mailing Address - Country:US
Mailing Address - Phone:305-420-2800
Mailing Address - Fax:
Practice Address - Street 1:11731 MILLS DR STE 109
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4844
Practice Address - Country:US
Practice Address - Phone:305-420-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW243171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical