Individual provider Active NPI

Crystal L Martinez, MSW

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1972329357
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03865 Issued in RI
Practice address
311 Doric Ave
Cranston, RI 02910-2903
Phone
(401) 467-9610
NPI assigned
Dec 2, 2024
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 CSW03865 RI Primary

Addresses

Primary practice location

311 Doric Ave
Cranston, RI 02910-2903

Mailing address

42 Morin Heights Blvd
Woonsocket, RI 02895-2236
Phone (401) 209-0150

Other practice location 1

1090 Cranston St
Cranston, RI 02920-7323
Phone (401) 781-3990

Other practice location 2

2756 Post Rd Ste 103
Warwick, RI 02886-3077
Phone (401) 781-3990

Other practice location 3

191 MacArthur Blvd
Coventry, RI 02816-7244
Phone (401) 781-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20250801000040 RI Practitioner - Clinical Social Worker 2264940238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1090 Cranston St
Cranston, RI 02920-7323
Phone (401) 943-1981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW03865RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Action, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Comprehensive Community Action, Inc CurrentSince Jun 24, 2025 Accepting new patients
Comprehensive Community Action, Inc Past Accepting new patients

Locations

191 MacArthur Blvd
Coventry, RI 02816
Phone (401) 828-5335

1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

2756 Post Rd
Ste 103
Warwick, RI 02886
Phone (401) 384-6007

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": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1972329357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MORIN HEIGHTS BLVD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952236",
            "telephone_number": "401-209-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DORIC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102903",
            "telephone_number": "401-467-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Cranston St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029207323",
            "country_code": "US",
            "telephone_number": "401-781-3990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2756 Post Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028863077",
            "country_code": "US",
            "telephone_number": "401-781-3990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028167244",
            "country_code": "US",
            "telephone_number": "401-781-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.