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NPI Code Detail

MEDICARE: JACQUELINE MARTINEZ LCSW

MEDICARE:   JACQUELINE  MARTINEZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC018125NC

General Provider Information

NPI Number : 1093428658
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE MARTINEZ LCSW
Provider Business Mailing Address
First Line : 260 1ST AVE NW STE 201
Second Line :
City : HICKORY
State : NC
Zip : 28601-6161
Country : US
Telephone Number : 828-855-2300
Fax Number :
Provider Business Practice Location Address
First Line : 74 8TH ST SE STE 219
Second Line :
City : HICKORY
State : NC
Zip : 28602-1121
Country : US
Telephone Number : 828-979-6392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2022
Last Update Date : 12/16/2025

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Directions to “ JACQUELINE MARTINEZ LCSW” Practice Location

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