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YADIRA MARTINEZ LSW
NPI 1538877154
Social Worker - Clinical in Hainesville, IL

Active since November 11, 2022PECOS Enrolled
394 DEER CROSSING CT, HAINESVILLE, IL 60030(224) 577-8425 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yadira Martinez Lsw NPPES

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

YADIRA MARTINEZ LSW (NPI 1538877154) is an individual clinical provider in Hainesville, Illinois, licensed in Illinois (149.030074) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538877154
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameYADIRA MARTINEZCredential: LSW
Location Address394 DEER CROSSING CTHainesville, IL 60030-3850
Mailing Address394 Deer Crossing CtHainesville, IL 60030-3850 · (224) 577-8425
Phone(224) 577-8425
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 11, 2022
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1538877154 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 IL · 149.030074
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.
394 DEER CROSSING CT, Hainesville, IL 60030
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Other Names 1

Other Name (5)Yadira Garcia Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Yadira Martinez Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274022462
PECOS Enrollment IDI20251028003938, I20251104002030
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 Reassignments

2

Medicare enrollment records show Yadira Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Mental Wellness, LLC
79 mi
Multi-Specialty
1101 CUMBERLAND XING # 108
Valparaiso, IN 46383
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1497307045 (866) 413-1988
Mobile Wellness Incorporated
79 mi
Clinical
1101 CUMBERLAND CROSSING DR., #108
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group
NPI 1982292199 (866) 413-1988

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 60030 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 Yadira Martinez's NPI number?

The NPI number for Yadira Martinez is 1538877154. It was assigned to this individual provider in the NPPES registry on November 11, 2022. The provider is also known as Yadira Garcia Lcsw.

Where is Yadira Martinez located?

Yadira Martinez practices at 394 Deer Crossing Ct, Hainesville, IL 60030. The listed phone number is (224) 577-8425.

What is Yadira Martinez's specialty?

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

Is Yadira Martinez enrolled in Medicare?

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

Which organizations bill Medicare for Yadira Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yadira Martinez reassigns Medicare benefits to 2 organizations: Mobile Mental Wellness, LLC (Valparaiso, IN) and Mobile Wellness Incorporated (Valparaiso, IN). Each 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 Yadira Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yadira Martinez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Yadira 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 Yadira Martinez was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.