Individual provider Active NPI

Amanda Jean Martinez

  • Clinical Social Worker
  • Cary, IL
National Provider Identifier
1346012374
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.111869 Issued in IL
Practice address
10 W Main St Ste 201B
Cary, IL 60013-2868
Phone
(815) 893-9470
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 150.111869 IL Primary

Addresses

Primary practice location

10 W Main St Ste 201B
Cary, IL 60013-2868

Mailing address

2413 W Algonquin Rd Unit 126
Algonquin, IL 60102-9402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260225003925 IL Practitioner - Clinical Social Worker 0840771051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2413 W Algonquin Rd Unit
Suite 126
Algonquin, IL 60102-9402

6807 State Rd
Suite 36
Lake Geneva, WI 53147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.111869ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Healing PLLC Clinical CurrentSince Jan 3, 2026 Accepting new patients
Ech Counseling PLLC Past Accepting new patients

Locations

2413 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 333-0033

10 W Main St
Ste 201B
Cary, IL 60013
Phone (815) 893-9470

10 W Main St
Ste 201A
Cary, IL 60013
Phone (815) 893-9470

10 W Main St
Cary, IL 60013
Phone (773) 251-7392

Organizations & group practices 2

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1346012374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 W ALGONQUIN RD UNIT 126",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MAIN ST STE 201B",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132868",
            "telephone_number": "815-893-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.111869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.