Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian John Martin, LICSW

Individual provider Clinical Social Worker · NPI 1043554207

Brian John Martin, LICSW is a Clinical Social Worker in Moorhead, Minnesota. Qualified in 2012, 14 years ago. Practices with Lakeland Mental Health Center Inc, a 39-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
14
Licensed in
MN, ND
In the registry since
2012
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1010 32nd Ave S
Moorhead, MN 56560-5001
Phone: (218) 223-7524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1128 Westrac Dr S Ste A, Fargo, ND 58103-8729 — (701) 318-2017

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20003 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6574 (ND)

Record details

NPI number1043554207
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 11, 2012
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lakeland Mental Health Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Moorhead