Provider Demographics
NPI:1528867702
Name:MARTINEZ CLAUSELL, ELIANETTE MARIE (MSW)
Entity type:Individual
Prefix:
First Name:ELIANETTE
Middle Name:MARIE
Last Name:MARTINEZ CLAUSELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ELIANETTE
Other - Middle Name:MARIE
Other - Last Name:MARTINEZ CLAUSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:I 3 CALLE 7 URB. JARDINES DEL MAMEY
Mailing Address - Street 2:
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723
Mailing Address - Country:US
Mailing Address - Phone:787-380-3985
Mailing Address - Fax:
Practice Address - Street 1:I 3 CALLE 7 URB. JARDINES DEL MAMEY
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-380-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15366104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker