MARTICA LOURDES BACALLAO PH.D. LCSW
NPI 1649031022
Counselor - Mental Health in Lumberton, NC

Active since January 22, 2024
900 N CHESTNUT ST, LUMBERTON, NC 28358(910) 739-3064 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Apr 13, 2024 (2 updates tracked since 2024).

About Martica Lourdes Bacallao Ph.d. Lcsw NPPES

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

MARTICA LOURDES BACALLAO PH.D. LCSW (NPI 1649031022) is an individual mental health provider in Lumberton, North Carolina, licensed in North Carolina (C015288) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1649031022
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARTICA LOURDES BACALLAOCredential: PH.D. LCSW
Location Address900 N CHESTNUT STLumberton, NC 28358-4854
Mailing Address900 N Chestnut StLumberton, NC 28358-4854 · (910) 739-3064
Sole ProprietorYes
Enumeration DateJanuary 22, 2024
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1649031022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · C015288
900 N CHESTNUT ST, Lumberton, NC 28358

Other Names 1

Former Name (1)Martica Kraemer Ma

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
900 N CHESTNUT ST
LUMBERTON, NC 28358
Counselor (Mental Health)
900 N CHESTNUT ST
LUMBERTON, NC 28358
Social Worker (Clinical)
900 N CHESTNUT ST
LUMBERTON, NC 28358
Counselor (Mental Health)
900 N CHESTNUT ST
LUMBERTON, NC 28358
Counselor (Mental Health)
900 N CHESTNUT ST
LUMBERTON, NC 28358
Counselor
900 N CHESTNUT ST
LUMBERTON, NC 28358

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 Martica Bacallao's NPI number?

The NPI number for Martica Bacallao is 1649031022. It was assigned to this individual provider in the NPPES registry on January 22, 2024. The provider is also known as Martica Kraemer Ma.

Where is Martica Bacallao located?

Martica Bacallao practices at 900 N Chestnut St, Lumberton, NC 28358. The listed phone number is (910) 739-3064.

What is Martica Bacallao's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Martica Bacallao was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.