Individual provider Active NPI

Jacqueline Martinez, LCSW

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1093428658
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018125 Issued in NC
Practice address
74 8TH St SE Ste 219
Hickory, NC 28602-1121
Phone
(828) 979-6392
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 C018125 NC Primary

Addresses

Primary practice location

74 8TH St SE Ste 219
Hickory, NC 28602-1121

Mailing address

74 8TH St SE Ste 219
Hickory, NC 28602-1121
Phone (828) 979-6392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250425000000 NC Practitioner - Clinical Social Worker 2264958958 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)

260 1St Ave NW
Suite 201
Hickory, NC 28601-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018125NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverstone Counseling PLLC Clinical CurrentSince Nov 22, 2025 Accepting new patients

Locations

74 8th St SE
Ste 219
Hickory, NC 28602
Phone (828) 979-6392

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1093428658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 8TH ST SE STE 219",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021121",
            "telephone_number": "828-979-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 8TH ST SE STE 219",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021121",
            "telephone_number": "828-979-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.