Individual provider Active NPI

Erica Martin, LCSWA

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1205419348
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016117 Issued in NC
Practice address
1100 Cane Creek Drive
1100 Cane Creek Drive
Garner, NC 27529
Phone
(919) 279-1436
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016117 NC Primary

Addresses

Primary practice location

1100 Cane Creek Drive
1100 Cane Creek Drive
Garner, NC 27529

Mailing address

1100 Cane Creek Drive
1100 Cane Creek Drive
Garner, NC 27529
Phone (919) 279-1436

Other practice location 1

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 769-5556

Other practice location 2

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 279-1436

Other practice location 3

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Other practice location 4

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Other practice location 5

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Other names 1

  • Ms. Erica Martin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P016117NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1205419348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CANE CREEK DRIVE",
            "address_2": "1100 CANE CREEK DRIVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-279-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CANE CREEK DRIVE",
            "address_2": "1100 CANE CREEK DRIVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-279-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-769-5556",
            "fax_number": "919-834-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-279-1436",
            "fax_number": "919-834-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ERICA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "MARTIN",
            "prefix": "MS.",
            "credential": "LCSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.