Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WYNETTA RENEE MARTIN LCSW
NPI 1255533220
Social Worker - Clinical in Elk Grove, CA

Active since June 01, 2007PECOS Enrolled
9727 ELK GROVE FLORIN RD STE 115, ELK GROVE, CA 95624(916) 400-0505(916) 848-0511 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Feb 11, 2022 (2 updates tracked since 2022).

About Wynetta Renee Martin Lcsw NPPES

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

WYNETTA RENEE MARTIN LCSW (NPI 1255533220) is an individual clinical provider in Elk Grove, California, licensed in California (LCS24409) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255533220
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWYNETTA RENEE MARTINCredential: LCSW
Location Address9727 ELK GROVE FLORIN RD STE 115Elk Grove, CA 95624-2265
Mailing Address2356 Gold Meadow Way Ste 110Gold River, CA 95670-6330 · (916) 400-0505 · Fax (916) 848-0511
Fax(916) 848-0511
Sole ProprietorNo
Enumeration DateJune 1, 2007
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1255533220 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 CA · LCS24409
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.
9727 ELK GROVE FLORIN RD STE 115, Elk Grove, CA 95624

Secondary Practice Locations 2

Location 12530 Douglas Blvd Ste 160Roseville, CA 95661-3991 · Phone (916) 400-0505 · Fax (916) 848-0511
Location 22356 Gold Meadow Way Ste 110Gold River, CA 95670-6330 · Phone (916) 400-0505 · Fax (916) 848-0511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wynetta Renee Martin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95624 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 $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
9727 ELK GROVE FLORIN RD STE 115
ELK GROVE, CA 95624
Social Worker (Clinical)
9727 ELK GROVE FLORIN RD STE 115
ELK GROVE, CA 95624

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 Wynetta Martin's NPI number?

The NPI number for Wynetta Martin is 1255533220. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Wynetta Martin located?

Wynetta Martin practices at 9727 Elk Grove Florin Rd Ste 115, Elk Grove, CA 95624. The listed phone number is (916) 400-0505.

What is Wynetta Martin's specialty?

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

Is Wynetta Martin enrolled in Medicare?

Yes. Wynetta Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wynetta Martin was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.