Individual provider Active NPI

Yadira Martinez, LSW

  • Clinical Social Worker
  • Hainesville, IL
National Provider Identifier
1538877154
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.030074 Issued in IL
Practice address
394 Deer Crossing CT
Hainesville, IL 60030-3850
Phone
(224) 577-8425
NPI assigned
Nov 11, 2022
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 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 149.030074 IL Primary

Addresses

Primary practice location

394 Deer Crossing CT
Hainesville, IL 60030-3850

Mailing address

394 Deer Crossing CT
Hainesville, IL 60030-3850
Phone (224) 577-8425

Other names 1

  • Yadira Garcia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251028003938 IL Practitioner - Clinical Social Worker 3274022462 Reassigns benefits to 1 organization
I20251104002030 IN Practitioner - Clinical Social Worker 3274022462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10208 S Indianapolis Ave
Suite 301
Chicago, IL 60617-6033

1101 Cumberland Xing
Suite 108
Valparaiso, IN 46383-2356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.030074ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Mental Wellness, LLC Clinical CurrentSince Oct 2, 2025 Accepting new patients
Mindful Monarch Therapy Clinical Current Accepting new patients
Mobile Wellness Incorporated Clinical CurrentSince Oct 29, 2025 Accepting new patients

Locations

10208 S Indianapolis Ave
Chicago, IL 60617
Phone (219) 286-4106

1101 Cumberland Xing
Valparaiso, IN 46383
Phone (219) 299-4643

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, 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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1538877154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 DEER CROSSING CT",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600303850",
            "telephone_number": "224-577-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 DEER CROSSING CT",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600303850",
            "telephone_number": "224-577-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "YADIRA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.030074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YADIRA",
            "last_name": "GARCIA",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hainesville, IL

Sources for this page

Verify at the official NPI Registry.