MEDICARE: RIVERSTONE COUNSELING PLLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1649130188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSTONE COUNSELING PLLC

Provider Business Mailing 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	:

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	:	OWNER/THERAPIST
Name	:	JACQUELINE MARTINEZ
Credential	:	MSW, LCSW
Telephone Number	:	828-979-6392

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/22/2025

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Directions to “RIVERSTONE COUNSELING PLLC ” Practice Location

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