Provider Demographics
NPI:1659184067
Name:MARTINEZ, DAVID AARON (LMSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:AARON
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W 19TH ST APT 401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4193
Mailing Address - Country:US
Mailing Address - Phone:254-214-8760
Mailing Address - Fax:
Practice Address - Street 1:555 W 19TH ST APT 401
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4193
Practice Address - Country:US
Practice Address - Phone:254-214-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical