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RAFAEL MARTINEZ
NPI 1497465603
Social Worker - Clinical in Brownsville, TX

Active since November 29, 2022PECOS Enrolled
35 COBBLESTONE CIR, BROWNSVILLE, TX 78521(956) 556-0015 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 19, 2024, Nov 29, 2022 (2 updates tracked since 2022).

About Rafael Martinez NPPES

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

RAFAEL MARTINEZ (NPI 1497465603) is an individual clinical provider in Brownsville, Texas and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497465603
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRAFAEL MARTINEZ
Location Address35 COBBLESTONE CIRBrownsville, TX 78521-4041
Mailing Address35 Cobblestone CirBrownsville, TX 78521-4041 · (956) 556-0015
Phone(956) 556-0015
Sole ProprietorYes
Enumeration DateNovember 29, 2022
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1497465603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 105584 (TX)
35 COBBLESTONE CIR, Brownsville, TX 78521
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Martinez 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 78521 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 $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 Rafael Martinez's NPI number?

The NPI number for Rafael Martinez is 1497465603. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Where is Rafael Martinez located?

Rafael Martinez practices at 35 Cobblestone Cir, Brownsville, TX 78521. The listed phone number is (956) 556-0015.

What is Rafael Martinez's specialty?

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

Is Rafael Martinez enrolled in Medicare?

Yes. Rafael Martinez is registered in the Medicare PECOS enrollment system.

What insurance does Rafael Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Rafael 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 Rafael Martinez was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.