1. Home
  2. Directory
  3. Rhode Island
  4. Pawtucket
  5. Social Worker
  6. NPI Profile

MELISSA VERAS MARTINEZ LCSW
NPI 1205434016
Social Worker - Clinical in Pawtucket, RI

Active since October 14, 2020PECOS Enrolled
85.24/100
CMS Quality Rating
249 ROOSEVELT AVE STE 205, PAWTUCKET, RI 02860(401) 724-8400 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melissa Veras Martinez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA VERAS MARTINEZ LCSW (NPI 1205434016) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Rhode Island (CSW02372) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205434016
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA VERAS MARTINEZCredential: LCSW
Location Address249 ROOSEVELT AVE STE 205Pawtucket, RI 02860-2134
Mailing Address29 Home Ave Apt 2Providence, RI 02908-4165 · (646) 260-2545
Phone(401) 724-8400
Sole ProprietorNo
Enumeration DateOctober 14, 2020
NPPES CertifiedSeptember 27, 2020
✔ NPI 1205434016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · CSW02372
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
249 ROOSEVELT AVE STE 205, Pawtucket, RI 02860
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Veras Martinez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Veras Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,219 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut enrollment
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost52.8

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBRIA CARPENTER MS
Clinic/Center (Adolescent and Children Mental Health)
249 ROOSEVELT AVE STE 205
PAWTUCKET, RI 02860
Providence County (401) 729-8701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Veras Martinez's NPI number?

The NPI number for Melissa Veras Martinez is 1205434016. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Melissa Veras Martinez located?

Melissa Veras Martinez practices at 249 Roosevelt Ave Ste 205, Pawtucket, RI 02860. The listed phone number is (401) 724-8400.

What is Melissa Veras Martinez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Veras Martinez enrolled in Medicare?

Yes. Melissa Veras Martinez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Veras Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Veras Martinez reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Veras Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Veras Martinez accept?

Health plans from Anthem Blue Cross and Blue Shield list Melissa Veras Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Veras Martinez was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.