MS. MARTHA MEDINA (LCSW) – Clinical Social Worker, NPI 1497328900

MS. MARTHA MEDINA (LCSW) is a healthcare provider. based in Albuquerque, New Mexico. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 104731 (TX). The NPI Number for MS. MARTHA MEDINA (LCSW) is 1497328900

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARTHA MEDINA (LCSW)
NPI
1497328900
Phone
(505) 944-6991
Address
4604 SNAPDRAGON RD NW
Enumeration Date
22 July 2021
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5059446991
Graduation Year
2015 (11 years ago)
PAC ID
4587660675
Group Practice PAC ID
3971959156
Professional Enrollment ID
I20231024002624
Address ID
NM87120XXXXALXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

736 CLINICAL SOCIAL WORKER in NM

Provider Addresses for MS. MARTHA MEDINA (LCSW)

  • 4604 SNAPDRAGON RD NW

    ALBUQUERQUE, NM 871202752

    Phone: (505) 944-6991

    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: 2023-10-24

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
I20231024002624IClinical Social WorkerNMTBD

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 87120)

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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: 3971959156View full group profile
NameSpecialtyState
Clinical Social WorkerNM
Nurse PractitionerTX
Clinical Social WorkerNM
Clinical Social WorkerNM
Clinical Social WorkerNM

Reviews

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Frequently asked questions

How do I look up MS. MARTHA MEDINA (LCSW) by NPI?
Use NPI 1497328900 when you need to reference MS. MARTHA MEDINA (LCSW) in forms, claims, or directories.
Is MS. MARTHA MEDINA (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MS. MARTHA MEDINA (LCSW) work in?
You can think of MS. MARTHA MEDINA (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MS. MARTHA MEDINA (LCSW)?
We surface Albuquerque, New Mexico for MS. MARTHA MEDINA (LCSW) based on available NPPES addresses.
Is MS. MARTHA MEDINA (LCSW) a real provider?
This page reflects official NPPES data for NPI 1497328900. Always confirm identity and privileges with the practice and licensing boards.

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