Brian John Martin, LICSW
NPI 1043554207ActiveIndividual· Social Worker, Clinical· Moorhead, MN
Social Worker, Clinical (LICSW) with Lakeland Mental Health Center Inc and 1 other group, practicing in Moorhead, Minnesota. Medicare paid $15,237 for services to 23 patients in 2024.
Overview
| NPI | 1043554207 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Nov 11, 2012 |
| Last updated in NPPES | Jun 24, 2024 |
| Certified by provider | Jun 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 20003 | MN |
| Social Worker, Clinical | 1041C0700X | 6574 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN); Practitioner - Clinical Social Worker (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 236 across 5 procedure codes |
| Paid by Medicare | $15,237 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Lakeland Mental Health Center IncAlexandria, MN · 40 clinicians
- Jdl Counseling LLCFargo, ND · 2 clinicians
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All 66 clinical social workers in Moorhead · All clinical social workers in Minnesota