Individual provider Active NPI

Roberto McClure Martinez Jr., LCSW, LCDC

  • Clinical Social Worker
  • Forney, TX
National Provider Identifier
1194337477
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63238 Issued in TX
Practice address
425 Pinson Rd
Ste M #2169
Forney, TX 75126
Phone
(214) 267-9001
NPI assigned
Aug 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 63238 TX Primary
Clinical Social Worker 1041C0700X 34358 MN
Clinical Social Worker 1041C0700X 149.031466 IL
Clinical Social Worker 1041C0700X I.2608333 OH

Addresses

Primary practice location

425 Pinson Rd
Ste M #2169
Forney, TX 75126

Mailing address

425 Pinson Rd Ste M
Forney, TX 75126-9774
Phone (214) 267-9001

Other names 1

  • Mr. Robert Martinez Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200908002664 TX Practitioner - Clinical Social Worker 1456779495 Reassigns benefits to 1 organization
I20250611001212 MN Practitioner - Clinical Social Worker 1456779495 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.031466ILMDClinical Social Worker
63238TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jun 4, 2025 Accepting new patients
Family Forward Therapy CurrentSince May 19, 2025 Accepting new patients

Locations

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1194337477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINSON RD STE M",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269774",
            "telephone_number": "214-267-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINSON RD",
            "address_2": "STE M #2169",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "214-267-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROBERTO",
        "middle_name": "MCCLURE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63238",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34358",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.031466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MARTINEZ",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.