Individual provider Active NPI

Sydney Rae Martin, LCSW

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1477376903
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017276 Issued in NC
Practice address
100 Rock Haven Rd Apt L207
Carrboro, NC 27510-2553
Phone
(319) 415-6359
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 C017276 NC Primary

Addresses

Primary practice location

100 Rock Haven Rd Apt L207
Carrboro, NC 27510-2553

Mailing address

100 Rock Haven Rd Apt L207
Carrboro, NC 27510-2553
Phone (319) 415-6359

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
I20250507002662 NC Practitioner - Clinical Social Worker 4385161918 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017276NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Clinical CurrentSince Feb 27, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 27, 2025 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2608 Erwin Rd
Ste 300
Durham, NC 27705
Phone (919) 385-3232

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1477376903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROCK HAVEN RD APT L207",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102553",
            "telephone_number": "319-415-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROCK HAVEN RD APT L207",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102553",
            "telephone_number": "319-415-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SYDNEY",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.