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

Lourdes Martinez, LICSW

Individual provider Clinical Social Worker · NPI 1871381665

Lourdes Martinez, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2810 Nicollet Ave
Minneapolis, MN 55408-4708
Phone: (612) 873-7876
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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 29199 (MN)

Record details

NPI number1871381665
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 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 Not indicated

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