1. Home
  2. Directory
  3. Michigan
  4. Plymouth
  5. Social Worker
  6. NPI Profile

LILLY MARTINEZ
NPI 1528635380
Social Worker - Clinical in Plymouth, MI

Active since June 09, 2021PECOS Enrolled
1176 S MAIN ST STE 103, PLYMOUTH, MI 48170(248) 365-8425 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2022, Dec 1, 2021, Jun 9, 2021 (3 updates tracked since 2021).

About Lilly Martinez NPPES

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

LILLY MARTINEZ (NPI 1528635380) is an individual clinical provider in Plymouth, Michigan and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528635380
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLILLY MARTINEZ
Location Address1176 S MAIN ST STE 103Plymouth, MI 48170-2252
Mailing Address24901 Northwestern Hwy Ste 500Southfield, MI 48075-2212 · (248) 365-8425
Phone(248) 365-8425
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1528635380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1176 S MAIN ST STE 103, Plymouth, MI 48170
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, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lilly 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.

Medicare Billing Reassignment

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

Solid Ground Counseling, PLLC
1.6 mi
Community/Behavioral Health
41100 PLYMOUTH RD STE 110
Plymouth, MI 48170
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1316107345 (734) 927-1201

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 48170 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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

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

WILDFLOWER THERAPY AND WELLNESS
Social Worker (Clinical)
1176 S MAIN ST STE 103
PLYMOUTH, MI 48170
Wayne County (734) 747-3602

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 Lilly Martinez's NPI number?

The NPI number for Lilly Martinez is 1528635380. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Lilly Martinez located?

Lilly Martinez practices at 1176 S Main St Ste 103, Plymouth, MI 48170. The listed phone number is (248) 365-8425.

What is Lilly Martinez's specialty?

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

Is Lilly Martinez enrolled in Medicare?

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

Which organization bills Medicare for Lilly Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilly Martinez reassigns Medicare benefits to Solid Ground Counseling, PLLC (Plymouth, MI). 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 Lilly Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilly Martinez accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health and Oscar Health Insurance and 3 other insurers list Lilly 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 Lilly Martinez was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.