Martha L Green

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P023510 Issued in NC

Practice address

1423 Marshall St
Roanoke Rapids, NC 27870-4413

Phone

(252) 541-1235

Fax

(252) 541-1111

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arthur Fenner Outreach Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roanoke Rapids, NC
  • NPI 1144947235

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1740908326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 MARSHALL ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704413",
            "telephone_number": "252-676-5701",
            "fax_number": "252-541-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 MARSHALL ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704413",
            "telephone_number": "252-541-1235",
            "fax_number": "252-541-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARTHA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "2081-2303-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023510",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5005077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Gate Human Services and Transportation
• Grace Pediatric Therapy Services LLC
• Shaquana Byrd Graham, MSW. LCSWA
• Xavier Malique Gray
• Kristen Green, MS CCC-SLP
• Trisha Gund
• Daqing Guo, M.D
• Kamlesh Gupta, M.D.
• Patrick Guy
• Halifax Anesthesia and Pain Clinic, Inc.

• Clinical Social Worker in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.