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JACLYN MARTINEZ MSW, LCSW
NPI 1104464775
Social Worker - Clinical in Fayetteville, NC

Active since December 14, 2019PECOS Enrolled
3622 MORGANTON RD STE B, FAYETTEVILLE, NC 28303(910) 212-4441 Get Directions Write a Review

NPPES record last updated: December 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Martinez Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN MARTINEZ MSW, LCSW (NPI 1104464775) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C011913) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104464775
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYN MARTINEZCredential: MSW, LCSW
Location Address3622 MORGANTON RD STE BFayetteville, NC 28303-4967
Mailing Address5424 Silver Pine CtFayetteville, NC 28303-2744
Phone(910) 212-4441
Sole ProprietorYes
Enumeration DateDecember 14, 2019
✔ NPI 1104464775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C011913
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3622 MORGANTON RD STE B, Fayetteville, NC 28303
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Other Names 1

Former Name (1)Jaclyn Vollmoeller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Martinez Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaclyn Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation
463 mi
Skilled Nursing Facility
460 BRIELLE AVE
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1285642512 (718) 317-3261
Brave Medical P.C.
492 mi
Community/Behavioral Health
73 MARKET ST FL 3
Yonkers, NY 10710
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Brave Medical PC
  • 54 clinicians in this Medicare group
NPI 1902415318 (305) 902-6347

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Martinez's NPI number?

The NPI number for Jaclyn Martinez is 1104464775. It was assigned to this individual provider in the NPPES registry on December 14, 2019. The provider is also known as Jaclyn Vollmoeller.

Where is Jaclyn Martinez located?

Jaclyn Martinez practices at 3622 Morganton Rd Ste B, Fayetteville, NC 28303. The listed phone number is (910) 212-4441.

What is Jaclyn Martinez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jaclyn Martinez enrolled in Medicare?

Yes. Jaclyn Martinez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaclyn Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Martinez reassigns Medicare benefits to 2 organizations: New York City Health And Hospitals Corporation (Staten Island, NY) and Brave Medical P.C. (Yonkers, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Martinez accept?

Health plans from Cigna Healthcare list Jaclyn Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Martinez was last updated on December 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.