Jillian Martindale, Lcsw, PLLC
Community/Behavioral Health in Burnsville, NC. Organization (NPI-2).
NPI number1003374802
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1003374802
- Entity type
- Organization (NPI-2)
- Legal business name
- Jillian Martindale, Lcsw, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2019
- Last updated
- Mar 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
10 N Main StBurnsville, NC 28714-2925
Phone 828-263-4467
Mailing address
346 Hunter StBurnsville, NC 28714-7137
Phone 828-263-4467
Authorized official
Jillian K Martindale
Sole Owner
8282634467
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