Earl Clayton Martin Jr., LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011418 Issued in NC

Practice address

330 S York St
Gastonia, NC 28052-4052

Phone

(704) 864-6573

NPI assigned

Jun 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pinnacle Family Services of North Carolina LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1467829127

  Clinical

  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1790205250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 BECKHAM LN APT 404",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323243",
            "telephone_number": "803-338-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S YORK ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524052",
            "telephone_number": "704-864-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EARL",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marsicano
• Annette Marie Martin, OT
• Ashley Yong Martin, DO
• Barbara Ann Martin, M.S. LPC
• Beverly S. Martin, PT
• Hunter Alexandria Martin, BT
• Lachandra Renee Martin, LCSWA
• Mary Ann Martin, MHNP
• Michelle Martinez Colon, AGACNP
• Ana Martinez, RBT

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, 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 Jun 26, 2017; 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.