Individual provider Active NPI

Martha Louise Diehl, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1588730824
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001225 Issued in NC
Practice address
104 S Estes Dr
Suite 206
Chapel Hill, NC 27514-2866
Phone
(919) 960-0727
Fax
(919) 969-0068
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 C001225 NC Primary

Addresses

Primary practice location

104 S Estes Dr
Suite 206
Chapel Hill, NC 27514-2866

Mailing address

104 S Estes Dr
Suite 206
Chapel Hill, NC 27514-2866
Phone (919) 960-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 18, 2016 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C001225NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588730824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S ESTES DR",
            "address_2": "SUITE 206",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142866",
            "telephone_number": "919-960-0727",
            "fax_number": "919-969-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S ESTES DR",
            "address_2": "SUITE 206",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142866",
            "telephone_number": "919-960-0727",
            "fax_number": "919-969-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.