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

Jaclyn Mae Martineau, LCSW

Individual provider Clinical Social Worker · NPI 1548983471

Jaclyn Mae Martineau, LCSW is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Licensed in
ND
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4024 53rd Ave S #103
Fargo, ND 58104
Phone: (701) 936-3635
Fax: (701) 936-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5371 (ND)

Record details

NPI number1548983471
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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