Individual provider · Type 1 NPI

Martin James Pearce-Vasquez, B.S.

Clinical Social Worker · Lamar, CO

NPI number 1700136363 Active

Practice location

100 Kendall Dr
Lamar, CO 81052-3901

Fax (719) 336-7453

Mailing address

711 Barnes Ave
La Junta, CO 81050-2138

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XCSW.09929972 (CO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1700136363

Martin James Pearce-Vasquez, B.S.'s National Provider Identifier is 1700136363, issued on Sep 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lamar, CO. The record was last updated on Jun 24, 2025.