IndividualActive
Brian Martinez
NPI 1467034454 · Clinical Social Worker · South Salt Lake, UT
Provider details
- NPI number
- 1467034454
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 13998800-3502 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
331 W 2700 S
South Salt Lake, UT 84115-2904
Phone: (801) 678-3317
Approximate (ZIP-level) locationGet directions
Mailing address
331 W 2700 S
South Salt Lake, UT 84115-2904
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.