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Contact Information

TIFFANY E MARTINEZ, LCSW
307 COLLEGE VIEW DR.
ROHNERT PARK, CA94928
 Phone: 707-410-9222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for TIFFANY E MARTINEZ · (Female)

NPI Number 1114483997
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/15/2019
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 119684
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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