MARY M MARTINEAU LCSW LLC
NPI 1770039109
Community/Behavioral Health in Salt Lake City, UT

Active since August 26, 2016
1355 S 1100 E, SALT LAKE CITY, UT 84105(801) 425-4187 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary M Martineau Lcsw Llc NPPES

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

MARY M MARTINEAU LCSW LLC (NPI 1770039109) is a healthcare organization registered as a community/behavioral health in Salt Lake City, Utah and active in the NPI registry since August 2016. The organization lists Mary M Martineau, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1770039109
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARY M MARTINEAU LCSW LLC
Location Address1355 S 1100 ESalt Lake City, UT 84105
Mailing Address1355 S 1100 ESalt Lake City, UT 84105-2432 · (801) 425-4187
Organization SubpartNo
Authorized OfficialMary M MartineauSole Owner · (801) 425-4187
Enumeration DateAugust 26, 2016
✔ NPI 1770039109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in UT · 8394257-3501
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1355 S 1100 E, Salt Lake City, UT 84105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary M Martineau Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary M Martineau Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1124404504
5965 S 900 E
Salt Lake City, UT 84121
(801) 263-7138
✔ PECOS6.7 mi

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

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 Mary M Martineau Lcsw LLC's NPI number?

The NPI number for Mary M Martineau Lcsw LLC is 1770039109. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Mary M Martineau Lcsw LLC located?

Mary M Martineau Lcsw LLC is located at 1355 S 1100 E, Salt Lake City, UT 84105. The listed phone number is (801) 425-4187.

What is Mary M Martineau Lcsw LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mary M Martineau Lcsw LLC enrolled in Medicare?

Yes. Mary M Martineau Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary M Martineau Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mary M Martineau Lcsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mary M Martineau Lcsw LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Mary M Martineau Lcsw LLC 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 Mary M Martineau Lcsw LLC was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.