Individual provider Active NPI

Lea Ann Martinico, LMSW

  • Clinical Social Worker
  • Grosse Pointe Farms, MI
National Provider Identifier
1235532862
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
377 Fisher Rd Ste D2
Grosse Pointe Farms, MI 48230-1673
Phone
(313) 316-5586
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 Primary

Addresses

Primary practice location

377 Fisher Rd Ste D2
Grosse Pointe Farms, MI 48230-1673

Mailing address

1557 Leroy St
Ferndale, MI 48220-1656
Phone (313) 244-8640

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
I20180112001528 MI Practitioner - Clinical Social Worker 6608135926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
BCS of Michigan LLCGroup PAC ID 0840503652, 41 clinicians

Practice addresses (Care Compare)

1500 N Lowell St
Westgate Nursing
Ironwood, MI 49938-1249
Phone (906) 932-3867

3265 122ND Ave
R2
Allegan, MI 49010-9574
Phone (269) 673-2102

377 Fisher Rd
Grosse Pointe Farms, MI 48230-1673

5500 Fort St
Trenton, MI 48183-4602
Phone (734) 671-3500

Merit-based Incentive Payment System (MIPS)

Final score
75.05 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Michigan LLC Social Worker CurrentSince Dec 12, 2017 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

Locations

3265 122nd Ave
#R2
Allegan, MI 49010
Phone (269) 673-2102

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

Organizations & group practices 3

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1235532862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 LEROY ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201656",
            "telephone_number": "313-244-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 FISHER RD STE D2",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482301673",
            "telephone_number": "313-316-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINICO",
        "first_name": "LEA ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

Verify at the official NPI Registry.