ROBERTA MARTIN – Social Worker, NPI 1972531689

ROBERTA MARTIN is a healthcare provider. based in Plymouth, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801068960 (MI). The NPI Number for ROBERTA MARTIN is 1972531689

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA MARTIN
NPI
1972531689
Phone
(734) 453-5603
Address
42189 ANN ARBOR RD E
Enumeration Date
29 June 2006
Last Update Date
9 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344535603
Graduation Year
1995 (31 years ago)
PAC ID
0244321925
Group Practice PAC ID
2769837186
Professional Enrollment ID
I20070809000552
Address ID
MI481704370PL42189EXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for ROBERTA MARTIN

  • Ann Arbor Road, Plymouth Township, Wayne County, Michigan, 48170, United States

    PLYMOUTH, MI 481704370

    Phone: (734) 453-5603

    Fax: (734) 453-5619

    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: 2007-08-09

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
I20070809000552IClinical Social WorkerMITBD

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 48170)

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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: 2769837186View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I cross-check ROBERTA MARTIN using NPI 1972531689?
NPI 1972531689 belongs to ROBERTA MARTIN; compare other details if you need extra assurance.
Would ROBERTA MARTIN appear as active to a payer?
You can treat ROBERTA MARTIN as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ROBERTA MARTIN?
At a glance, ROBERTA MARTIN is tied to Social Worker. Clinical services aligned with this taxonomy classification.
Where in Michigan is ROBERTA MARTIN registered?
Use Plymouth, Michigan as the headline location for ROBERTA MARTIN here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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