Individual provider Active NPI

Ariel Kristin Moone Martin, LCSW-A

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1427679562
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012947 Issued in NC
Practice address
1913 J N Pease PL Ste 101
Charlotte, NC 28262-4537
Phone
(803) 084-5009
NPI assigned
Apr 29, 2020
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 P012947 NC Primary

Addresses

Primary practice location

1913 J N Pease PL Ste 101
Charlotte, NC 28262-4537

Mailing address

1913 J N Pease PL Ste 101
Charlotte, NC 28262-4537
Phone (803) 084-5009

Other names 1

  • Miss Ariel Moone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317001173 NC Practitioner - Clinical Social Worker 9739662875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QC Wellness Collective PLLCGroup PAC ID 7012448947, 6 clinicians

Practice addresses (Care Compare)

6115 Park S Dr
Suite 135
Charlotte, NC 28210-3269
Phone (704) 285-0241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012947NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reach the Moone PLLC Clinical Current Accepting new patients
Reach the Moone PLLC Clinical Current Accepting new patients
QC Wellness Collective, PLLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

6115 Park South Dr
Ste 135
Charlotte, NC 28210
Phone (704) 282-6143

8832 Blakeney Professional Dr
Ste 300
Charlotte, NC 28277
Phone (980) 446-3567

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1427679562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 J N PEASE PL STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624537",
            "telephone_number": "803-084-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 J N PEASE PL STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624537",
            "telephone_number": "803-084-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ARIEL",
        "middle_name": "KRISTIN MOONE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "MOONE",
            "prefix": "MISS",
            "credential": "LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.