Individual provider Active NPI

Lilly Martinez

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1528635380
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1176 S Main St Ste 103
Plymouth, MI 48170-2252
Phone
(248) 365-8425
NPI assigned
Jun 9, 2021
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 Primary

Addresses

Primary practice location

1176 S Main St Ste 103
Plymouth, MI 48170-2252

Mailing address

24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212
Phone (248) 365-8425

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
I20250331000513 MI Practitioner - Clinical Social Worker 9931622040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orchards Children's Services, Inc CurrentSince Jun 1, 2021 Accepting new patients
Orchards Children's Services, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Solid Ground Counseling, PLLC CurrentSince Feb 18, 2025 Accepting new patients
Wildflower Therapy and Wellness Clinical CurrentSince Aug 3, 2025 Accepting new patients

Locations

1176 S Main St
Ste 103
Plymouth, MI 48170
Phone (248) 365-8425

9397 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 927-1201

41100 Plymouth Rd
Ste 110
Plymouth, MI 48170
Phone (734) 335-1336

24901 Northwestern Hwy
Ste 500
Southfield, MI 48075
Phone (248) 258-0440

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1528635380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752212",
            "telephone_number": "248-365-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 S MAIN ST STE 103",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702252",
            "telephone_number": "248-365-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LILLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.