IVAN MARTINEZ GONZALEZ (LCSW) – Mental Health Counselor, NPI 1497250351

IVAN MARTINEZ GONZALEZ (LCSW) is a healthcare provider. based in Colusa, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 113824 (CA). The NPI Number for IVAN MARTINEZ GONZALEZ (LCSW) is 1497250351

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
IVAN MARTINEZ GONZALEZ (LCSW)
NPI
1497250351
Phone
(530) 458-0520
Address
162 E CARSON ST STE B
Enumeration Date
23 March 2018
Last Update Date
29 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5304580520
Graduation Year
2020 (6 years ago)
PAC ID
8820453517
Group Practice PAC ID
3173656402
Professional Enrollment ID
I20240817000547
Address ID
CA959322880CO162XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

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Provider Addresses for IVAN MARTINEZ GONZALEZ (LCSW)

  • 162, East Carson Street, Arbee, Colusa, Colusa County, California, 95932, United States

    COLUSA, CA 959322880

    Phone: (530) 458-0520

    Fax: (530) 458-7751

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240817000547IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95932)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173656402View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Clinical Social WorkerCA
-CA
P S Y C H I A T R YNM
Marriage And Family TherapistCA
-CA
Marriage And Family TherapistCA
-CA
-CA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

Is there an official ID for IVAN MARTINEZ GONZALEZ (LCSW) in U.S. healthcare records?
The official identifier for IVAN MARTINEZ GONZALEZ (LCSW) is NPI 1497250351.
Active or inactive — what applies to IVAN MARTINEZ GONZALEZ (LCSW)?
You should see IVAN MARTINEZ GONZALEZ (LCSW) as active in CMS-hosted NPPES data.
What kind of doctor is IVAN MARTINEZ GONZALEZ (LCSW)?
IVAN MARTINEZ GONZALEZ (LCSW) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is IVAN MARTINEZ GONZALEZ (LCSW) located near Colusa?
IVAN MARTINEZ GONZALEZ (LCSW) currently maps to Colusa, California in this extract.
Can I trust this NPI listing for IVAN MARTINEZ GONZALEZ (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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