1. Home
  2. Directory
  3. Rhode Island
  4. Pawtucket
  5. Social Worker
  6. NPI Profile

ILEANA MARTINEZ LCSW
NPI 1801314539
Social Worker - Clinical in Pawtucket, RI

Active since September 01, 2017PECOS Enrolled
200 MAIN ST, PAWTUCKET, RI 02860(401) 728-1800 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2020, Sep 1, 2017 (2 updates tracked since 2017).

About Ileana Martinez Lcsw NPPES

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

ILEANA MARTINEZ LCSW (NPI 1801314539) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Rhode Island (CSW02037) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801314539
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameILEANA MARTINEZCredential: LCSW
Location Address200 MAIN STPawtucket, RI 02860-4131
Mailing Address28 Clark Mill StCoventry, RI 02816-6339 · (774) 331-1500
Phone(401) 728-1800
Sole ProprietorNo
Enumeration DateSeptember 1, 2017
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1801314539 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 RI · CSW02037
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.
200 MAIN ST, Pawtucket, RI 02860
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ileana Martinez Lcsw 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 Reassignments

2

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

Arise Psychotherapy Services, Inc
3.4 mi
Clinical
410 N BROADWAY
East Providence, RI 02914
  • Reassigned Medicare billing, Rhode Island enrollment
  • 12 clinicians in this Medicare group
NPI 1679248108 (401) 320-4458
Inner You LLC
9.0 mi
Clinical
1023 POST RD
Warwick, RI 02888
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group
NPI 1225464209 (401) 773-7116

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 02860 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 17

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

MRS. LINDA CAROLINE BRAULT LICSW
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 728-1800
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Community/Behavioral Health
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
MS. ANITA MILHAM LMHC
Community/Behavioral Health
200 MAIN ST, STE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800
EMILY RAYMOND GRIFFIN LICSW
Social Worker (Clinical)
200 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 728-1800
PEOPLE IN PARTNERSHIPS, INC.
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 230
PAWTUCKET, RI 02860
Providence County (401) 727-8002
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Day Training, Developmentally Disabled Services
200 MAIN ST, SUITE 210
PAWTUCKET, RI 02860
Providence County (401) 728-1800

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 Ileana Martinez's NPI number?

The NPI number for Ileana Martinez is 1801314539. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Ileana Martinez located?

Ileana Martinez practices at 200 Main St, Pawtucket, RI 02860. The listed phone number is (401) 728-1800.

What is Ileana Martinez's specialty?

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

Is Ileana Martinez enrolled in Medicare?

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

Which organizations bill Medicare for Ileana Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ileana Martinez reassigns Medicare benefits to 2 organizations: Arise Psychotherapy Services, Inc (East Providence, RI) and Inner You LLC (Warwick, RI). 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 Ileana Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ileana Martinez accept?

Health plans from Harvard Pilgrim Health Care list Ileana 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 Ileana Martinez was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.