LEIDY M MARTINEZ BODRE LSWAIC
NPI 1376242198
Social Worker - Clinical in Kent, WA

Active since March 01, 2023PECOS Enrolled
1126 4TH AVE N, KENT, WA 98032(253) 204-6200 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leidy M Martinez Bodre Lswaic NPPES

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

LEIDY M MARTINEZ BODRE LSWAIC (NPI 1376242198) is an individual clinical provider in Kent, Washington, licensed in Washington (SC61400894) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376242198
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLEIDY M MARTINEZ BODRECredential: LSWAIC
Location Address1126 4TH AVE NKent, WA 98032
Mailing Address1126 4th Ave NKent, WA 98032
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 1, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1376242198 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 WA · SC61400894
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.
1126 4TH AVE N, Kent, WA 98032

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leidy M Martinez Bodre Lswaic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133684228
PECOS Enrollment IDI20260720001498
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 Leidy Martinez Bodre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group

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 98032 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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 Leidy Martinez Bodre's NPI number?

The NPI number for Leidy Martinez Bodre is 1376242198. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Leidy Martinez Bodre located?

Leidy Martinez Bodre practices at 1126 4th Ave N, Kent, WA 98032. The listed phone number is (253) 204-6200.

What is Leidy Martinez Bodre's specialty?

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

Is Leidy Martinez Bodre enrolled in Medicare?

Yes. Leidy Martinez Bodre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leidy Martinez Bodre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leidy Martinez Bodre reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Leidy Martinez Bodre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leidy Martinez Bodre accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Leidy Martinez Bodre 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 Leidy Martinez Bodre was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.