Provider Demographics
NPI:1184919821
Name:MARTINEZ, MARIA ROSARIO (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ROSARIO
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 N 6TH ST STE 116
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7505
Mailing Address - Country:US
Mailing Address - Phone:559-906-9488
Mailing Address - Fax:
Practice Address - Street 1:1702 E BULLARD AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5800
Practice Address - Country:US
Practice Address - Phone:559-906-9488
Practice Address - Fax:559-438-8354
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS251601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical