Provider Demographics
NPI:1497549224
Name:MARTINEZ, LAURA ALINA (ASW124004)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ALINA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:ASW124004
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ALINA
Other - Last Name:KELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2370 SKYWAY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1133
Mailing Address - Country:US
Mailing Address - Phone:805-863-6481
Mailing Address - Fax:
Practice Address - Street 1:2370 SKYWAY DR STE 104
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1133
Practice Address - Country:US
Practice Address - Phone:805-863-6481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker