Active NPI
Erica Martin, LCSWA
- Clinical Social Worker
- Garner, NC
National Provider Identifier
1205419348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P016117 | NC | MD | Clinical 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.