Nichelle Marie Martin, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012711 Issued in NC

Practice address

288 East St Ste 1001-F7
Pittsboro, NC 27312-9711

Phone

(919) 704-8449

Fax

(919) 704-8617

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1003392952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 EAST ST STE 1001-F7",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129711",
            "telephone_number": "919-704-8449",
            "fax_number": "919-704-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 EAST ST STE 1001-F7",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129711",
            "telephone_number": "919-704-8449",
            "fax_number": "919-704-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danelle Louder, LCMHC
• Marisol Lowing Sharpe
• Kristin Lukasiewicz, MSW, LCSW
• Bethany Amanda Lutes, MA, CCC-SLP
• Mariah Elise Martin
• Stephanie Martinez, MSW, LCSWA
• Marla Mason, RN
• Anita Groves McAllister, PHARMD
• Maria S McAllister, LCSW
• Joshua McCullough, DNP, AGPCNP-BC

• Clinical Social Worker in Pittsboro, NC
• Providers in Pittsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.