DONNA M MARTINEZ LCSW
NPI 1801187182
Social Worker - Clinical in Lewiston, ME
About Donna M Martinez Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA M MARTINEZ LCSW (NPI 1801187182) is an individual clinical provider in Lewiston, Maine, licensed in Maine (LC6494) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oxford, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Donna M Martinez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Donna Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 80 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Auburn, ME 04210
- Reassigned Medicare billing, Maine enrollment
- 269 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 04240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWISTON, ME 04240
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 Donna Martinez's NPI number?
The NPI number for Donna Martinez is 1801187182. It was assigned to this individual provider in the NPPES registry on April 21, 2011.
Where is Donna Martinez located?
Donna Martinez practices at 179 Lisbon St Ste 201, Lewiston, ME 04240. The listed phone number is (207) 805-6245.
What is Donna Martinez's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Donna Martinez enrolled in Medicare?
Yes. Donna Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Donna Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Martinez reassigns Medicare benefits to 3 organizations: Community Clinical Services, Inc. (Lewiston, ME), St. Mary's Regional Medical Center (Lewiston, ME) and Health Affiliates Maine, LLC (Auburn, ME). 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 Donna Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Martinez accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Donna 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 Donna Martinez was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Donna M Martinez, LCSW · NPI 1801187182
Clinical provider in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since April 21, 2011.
## Identity
- **NPI:** 1801187182 (Entity type: Individual)
- **Enumerated:** April 21, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LC6494 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 179 LISBON ST STE 201, Lewiston, ME 04240-7248
- **Phone:** (207) 805-6245
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Clinical Services, Inc. (NPI 1164477568, Lewiston, ME); St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME); Health Affiliates Maine, LLC (NPI 1932413556, Auburn, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801187182) · Data from the CMS NPPES public registry.