Mirella Martinez, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.109636 Issued in IL

Practice address

16151 Weber Rd Ste LL10
Crest Hill, IL 60403-0863

Phone

(815) 782-8263

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inspire Therapy Services

  • Counselor
  • Crest Hill, IL
  • NPI 1205390705
  NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1699467456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 PHOENIX LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318415",
            "telephone_number": "219-256-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD STE LL10",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-782-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MIRELLA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.109636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Malooly, MPT
• Sirisha Mandadi, DDS
• Shwetha Manjunath, MD
• Jena L. Margis, CADC
• Mariusz Rogalski, MD, SC
• Stacey Anne Matson, LPC
• Dayna Mazurek, RDH, PHDH, CDHC
• Gayle L McCloskey, MD
• Rachel Amanda McLenighan, LCPC
• Mental Clarity & Wellness LLC

• Social Worker in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.