MR. ROLANDO THOMAS MARTINEZ MSW, LCSW, LADC
NPI 1649288390
Social Worker - Clinical in New London, CT
NPI Status: Active since August 04, 2006
Contact Information
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 444-5141
Fax: (860) 442-4079
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About ROLANDO MARTINEZ
This page provides the complete NPI Profile along with additional information for Rolando Martinez, a provider established in New London, Connecticut with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1649288390 assigned on August 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 001095 (CT). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1649288390
- Provider Name
- MR. ROLANDO THOMAS MARTINEZ MSW, LCSW, LADC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 365 MONTAUK AVE NEW LONDON, CT 06320
- Location Phone
- (860) 444-5141
- Location Fax
- (860) 442-4079
- Mailing Address
- 365 MONTAUK AVE NEW LONDON, CT 06320
- Mailing Phone
- (860) 444-5141
- Mailing Fax
- (860) 442-4079
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2006
- Last Update Date
- 01-03-2012
- Code Navigator
A clinical social worker like Rolando Martinez is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 001095
- License State
- CT
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 000839 (CT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Standard+ (Dental + Vision) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D400060106 | OTHER (01) | CT | MEDICARE |
| 1649288390 | MEDICAID (05) | CT |
Medicare Participation & PECOS Enrollment Status
Rolando Martinez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06320 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $0
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. ROLANDO THOMAS MARTINEZ MSW, LCSW, LADC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 8 | 8 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 8 | 16 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 8 + 1 + 6 + 3 + 1 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649288390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
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The following 20 providers are registered at the same or nearby location.
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KATHERINE FRANCES MCGOWAN HESSE MD
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CHRISTOPHER JALBERT M.D.
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TARA HOOD NP
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ERIC BALCH M.D.
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SUDHIR KADIAN M.D.
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THOMAS MIETT M.D.
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DR. ALEXANDER GAUNT SLATER MD
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DR. JOSEPH W PETERS M.D.
Physical Medicine & Rehabilitation
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DR. DENNIS S GORDAN M.D.
Specialist
365 MONTAUK AVE
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BRENDA KOBLICK MD
Radiology
(Diagnostic Radiology)
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
TODD BLUE MD
Radiology
(Diagnostic Radiology)
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
LEONARD COPERTINO MD
Radiology
(Diagnostic Radiology)
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
ROBERT CROSS MD
Radiology
(Diagnostic Radiology)
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
DR. JOSEPH A COX M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
DR. ALAN L BIER M.D.
Internal Medicine
(Pulmonary Disease)
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ZIP 06320
LOUIS V BUCKLEY M.D.
Internal Medicine
(Pulmonary Disease)
365 MONTAUK AVE
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649288390, enumerated as an "individual" on August 04, 2006.
The provider is located at 365 MONTAUK AVE NEW LONDON, CT 06320 and the phone number is (860) 444-5141.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Aetna CVS Health, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.
