Martha Hurtado Mino, LICSW
NPI 1235779315ActiveIndividual· Social Worker, Clinical· Crookston, MN
Social Worker, Clinical (LICSW) in Crookston, Minnesota, licensed in MN, with an NPI issued in January 2020. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1235779315 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Jan 7, 2020 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 16103 | MN |
| Counselor, Mental Health | 101YM0800X | 16103 | MN |
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 (FL); Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other clinical social workers in Crookston
- 1336664614
- 1346613304
- 1467190165
- 1710946835
- 1942438239
- 1134997141
- 1164107660
- 1346187192
- 1598615445
- 1619936739
- 1487611737
- 1366401481
All 31 clinical social workers in Crookston · All clinical social workers in Minnesota