Individual provider Active NPI

Laura Maria Martinez

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1114403136
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083798 Issued in MI
Practice address
1777 Axtell Dr
Troy, MI 48084-4404
Phone
(247) 709-5981
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801083798 MI Primary

Addresses

Primary practice location

1777 Axtell Dr
Troy, MI 48084-4404

Mailing address

455 Fox Hills Dr N
Bloomfield Hills, MI 48304-1309
Phone (248) 253-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260330001561 MI Practitioner - Clinical Social Worker 4486139326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maples Creative Counseling LLCGroup PAC ID 3779064571, 3 clinicians

Practice addresses (Care Compare)

215 E Big Beaver Rd
Suite 100
Troy, MI 48083-1216
Phone (313) 451-3315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801083798MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maples Creative Counseling LLC CurrentSince Mar 24, 2026 Accepting new patients

Locations

2835 Bagley St
Ste 825
Detroit, MI 48216
Phone (313) 451-3315

215 E Big Beaver Rd
Ste 100
Troy, MI 48083
Phone (313) 451-3315

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1114403136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 FOX HILLS DR N",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041309",
            "telephone_number": "248-253-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "247-709-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LAURA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.