Individual provider Active NPI

Rachel E Martin, LICSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1548986805
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017833 Issued in NC
Practice address
8637 Hobhouse Cir
Raleigh, NC 27615-4190
Phone
(360) 953-0403
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61500440 WA
Clinical Social Worker 1041C0700X 17157 SC
Clinical Social Worker 1041C0700X C017833 NC Primary

Addresses

Primary practice location

8637 Hobhouse Cir
Raleigh, NC 27615-4190

Mailing address

512 Nightingale CT
Wake Forest, NC 27587-9142
Phone (360) 953-0403

Other practice location 1

18 Stonewall Ct
Irmo, SC 29063-8931
Phone (360) 953-0403

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice.com

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
C017833NCMDClinical Social Worker
17157SCMDClinical Social Worker
LW61500440WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1548986805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NIGHTINGALE CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879142",
            "telephone_number": "360-953-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8637 HOBHOUSE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154190",
            "telephone_number": "360-953-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Stonewall Ct",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290638931",
            "country_code": "US",
            "telephone_number": "360-953-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61500440",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17157",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "a HIPAA compliant platform for securely messaging clients and hosting virtual sessions",
            "address_1": "9901 NE 7th Ave Ste 202",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986854523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.