ANGELA M MARTINEZ (LCSW) – Social Worker, NPI 1447566245

ANGELA M MARTINEZ (LCSW) is a healthcare provider. based in Logan, Utah. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for ANGELA M MARTINEZ (LCSW) is 1447566245

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA M MARTINEZ (LCSW)
NPI
1447566245
Phone
(435) 716-5790
Address
1300 N 500 E FL 3
Enumeration Date
31 August 2010
Last Update Date
17 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357921980
Graduation Year
2012 (14 years ago)
PAC ID
0840517389
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20150323001152
Address ID
UT843412400LO1350X500X300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

965 CLINICAL SOCIAL WORKER in UT

Provider Addresses for ANGELA M MARTINEZ (LCSW)

  • 1300 N 500 E FL 3

    LOGAN, UT 843412408

    Phone: (435) 716-5790

    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: 2015-03-23

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
I20150323001152IClinical Social WorkerUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour8720$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ANGELA M MARTINEZ (LCSW) in U.S. healthcare records?
The official identifier for ANGELA M MARTINEZ (LCSW) is NPI 1447566245.
Is there an active status for ANGELA M MARTINEZ (LCSW)?
For scheduling context, ANGELA M MARTINEZ (LCSW) is shown as active in the registry.
What expertise is attributed to ANGELA M MARTINEZ (LCSW)?
ANGELA M MARTINEZ (LCSW)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Is ANGELA M MARTINEZ (LCSW) located near Logan?
ANGELA M MARTINEZ (LCSW) currently maps to Logan, Utah in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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