DR. WANDA MARGARITA MARTINEZ-DIAZ


Address: 85 Green St, Worcester, MA 01604-4134
Phone: 5087553737

DR. WANDA MARGARITA MARTINEZ-DIAZ (NPI# 1073640801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073640801
Entity Type Individual
Full Name DR. WANDA MARGARITA MARTINEZ-DIAZ
Other Name DR. WANDA MARGARITA MARTINEZ-DIAZ
Credential MHC
Practice Address 85 Green St
Worcester
MA 01604-4134
Mailing Address 42 Deerfield St # 1
Worcester
MA 01602-4363
Practice Telephone 5087553737
Practice Fax Number 5087951665
Mailing Telephone 5084214478
Mailing Fax Number 5087951338
Enumeration Date 2007-02-28
Last Update Date 2015-05-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
8462 MA Behavioral Health & Social Service Providers

Office Location

Street Address 85 GREEN ST
City WORCESTER
State MA
Zip Code 01604-4134

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154800290 Keri Innis-grant Counselor 108 Grove Street, Ste Ll11, Worcester, MA 01605 2018-08-09
1437605540 Alan Cremer Counselor 4 Chamberlain Pkwy, Worcester, MA 01602-2508 2016-08-29
1043562820 Monica May Rugg Counselor 26 Otsego Rd, Worcester, MA 01609-1736 2012-10-04
1720369796 Doreen Beth Camosse Counselor 10 Franconia St, Worcester, MA 01602-2604 2011-09-06
1104071315 Gary J Breault Counselor 25 Catharine St, Worcester, MA 01605-2709 2008-12-02
1780734137 Irene E. Wanjiku Counselor 11 Gibbs St Unit C39, Worcester, MA 01607-1462 2007-01-10
1548728074 Crystal Lasley Counselor 26 Queen St, Worcester, MA 01610-2473 2019-03-04
1194231779 Morgana Flaherty Counselor 275 Belmont St, Worcester, MA 01604-1675 2017-12-19
1922510502 Kathleen Melissa Garrity Counselor 108 Grove St, Suite Ll11, Worcester, MA 01605 2017-11-03
1558716431 Dannilys Benitez Counselor 345 Greenwood St, Suite B, Worcester, MA 01607-1767 2016-04-28
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Competitor

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City WORCESTER
Zip Code 01604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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