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

Individual provider Clinical Social Worker · NPI 1235779315

Martha Hurtado Mino, LICSW is a Clinical Social Worker in Crookston, Minnesota. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2020
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.

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Practice location Address checks out

712 N Frnt ST
Crookston, MN 56716-1252
Phone: (954) 668-3621
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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 16103 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 16103 (MN)

Record details

NPI number1235779315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 7, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Crookston