Provider Demographics
NPI:1811406382
Name:MARTINEZ, TONALTZIN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:TONALTZIN
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N ROUSE AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2930
Mailing Address - Country:US
Mailing Address - Phone:406-607-7926
Mailing Address - Fax:
Practice Address - Street 1:901 N ROUSE AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2930
Practice Address - Country:US
Practice Address - Phone:406-607-7926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker