Individual provider Active NPI

Siedah Denise Martin, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1437696697
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015837 Issued in NC
Practice address
13000 S Tryon St Ste F165
Charlotte, NC 28278-7652
Phone
(704) 492-8525
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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 C015837 NC Primary

Addresses

Primary practice location

13000 S Tryon St Ste F165
Charlotte, NC 28278-7652

Mailing address

13000 S Tryon St Ste F165
Charlotte, NC 28278-7652
Phone (704) 492-8525

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
C015837NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Minds Counseling and Consulting, PLLC. CurrentSince Oct 5, 2025 Accepting new patients

Locations

13000 S Tryon St
Ste F165
Charlotte, NC 28278
Phone (704) 492-8525

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1437696697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F165",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "704-492-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F165",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "704-492-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SIEDAH",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.