Active NPI
Molly Martucci, MSW, LCSWA
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1750804290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P011772
- Practice address
- 901 Paverstone Dr
Raleigh, NC 27615-4710 - Phone
- (919) 887-9103
- NPI assigned
- Jul 17, 2017
- Last updated
- Mar 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P011772 | NC | Primary |
Addresses
Primary practice location
901 Paverstone Dr
Raleigh, NC 27615-4710
Mailing address
901 Paverstone Dr
Raleigh, NC 27615-4710
Other names 1
- Molly Martucci
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P011772 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
| Steven M Daniels Jr PHD PLLC | Current | Accepting new patients | |
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
Locations
2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009
901 Paverstone Dr
Raleigh, NC 27615
Phone (919) 818-4284
Interoperability endpoints
- molly.martucci@mikesteven-m-daniels-jr.direct.kno2fy.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Durham, NC
- NPI 1083723266
-
- Clinical Social Worker
- Asheville, NC
- NPI 1518110139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1750804290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PAVERSTONE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PAVERSTONE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154710",
"telephone_number": "919-887-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTUCCI",
"first_name": "MOLLY",
"credential": "MSW, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P011772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "MARTUCCI",
"credential": "MSW, LCSWA",
"code": "2",
"type": "Professional Name"
}
]
}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 Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.