MR. FIDEL RICARDO MARTINEZ (LCSW, CEAP) – Clinical Social Worker, NPI 1629085857
Clinical Social Worker
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,711 CLINICAL SOCIAL WORKER in IN
Provider Addresses for MR. FIDEL RICARDO MARTINEZ (LCSW, CEAP)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
720 45TH ST
MUNSTER, IN 463212818
Phone: (219) 852-2513
Fax: (219) 852-2443
Type: Location
Dyer Post Office, 107, North Main Street, Dyer, Crawford County, Arkansas, 72935, United States
DYER, IN 463110800
Phone: (219) 864-2614
Fax: (219) 864-2599
Type: Mailing
Franciscan Health Dyer, 24, Joliet Street, Dyer, Lake County, Indiana, 46311, United States
DYER, IN 463111705
Phone: (219) 864-2160
Fax: (219) 864-2599
Type: Location
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: 2016-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070703000072 | I | Clinical Social Worker | IN | TBD |
| I20160617000097 | I | Clinical Social Worker | IL | TBD |
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.
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 48278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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