Martha C Jimenez, LCSW is a
Social Worker - Clinical based in Mendocino, California. Martha C Jimenez is licensed to practice in California (license number 110033) and her current practice location is
44261 Little Lake Road, Mendocino, California. She can be reached at her office (for appointments etc.) via phone at
(707) 397-7656.
NPI number for Martha C Jimenez is 1124741251 and her current mailing address is 946 Glass Beach Dr, Fort Bragg, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124741251.
Healthcare Provider's Profile
Full Name | Martha C Jimenez |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 44261 Little Lake Road, Mendocino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124741251
- Provider Enumeration Date: 09/23/2022
- Last Update Date: 09/23/2022
Medical Identifiers
Medical identifiers for Martha C Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124741251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 110033 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martha C Jimenez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Martha C Jimenez, LCSW 946 Glass Beach Dr, Fort Bragg, CA 95437-3063 Ph: (909) 709-4182 | Martha C Jimenez, LCSW 44261 Little Lake Road, Mendocino, CA 95460-9546 Ph: (707) 397-7656 |
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