Miss Dominga Crystal Martinez, LCSW | |
1600 Edora Ct Ste B, Fort Collins, CO 80525-6016 | |
(720) 209-6346 | |
Not Available |
Full Name | Miss Dominga Crystal Martinez |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 1600 Edora Ct Ste B, Fort Collins, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447549605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09924474 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Miss Dominga Crystal Martinez, LCSW 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 Ph: (970) 624-2500 | Miss Dominga Crystal Martinez, LCSW 1600 Edora Ct Ste B, Fort Collins, CO 80525-6016 Ph: (720) 209-6346 |
Mrs. Lani R. Hickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2032 Lowe St, Suite 200, Fort Collins, CO 80525 Phone: 970-266-1778 Fax: 970-266-1799 | |
Alyssa Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2627 Redwing Rd Ste 250, Fort Collins, CO 80526 Phone: 970-430-6061 | |
Rose Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525 Phone: 970-494-4200 Fax: 970-613-4475 | |
Bonita Inscho, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 W Oak St, Fort Collins, CO 80521 Phone: 970-494-4300 Fax: 970-494-4301 | |
Richard K Riddoch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Carpenter Rd, Fort Collins, CO 80525 Phone: 970-663-3500 Fax: 970-292-0898 | |
Kristen A Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1531 Riverside Ave, Fort Collins, CO 80524 Phone: 970-281-7837 | |
Natalie B. Denkers, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-8090 Fax: 970-495-7686 |