Active NPI
Raven Ciara Martin, LMSW
- Social Worker
- Murrells Inlet, SC
National Provider Identifier
1962390013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15696
- Practice address
- 4181 Highway 17
Murrells Inlet, SC 29576-5019 - Phone
- (843) 652-6077
- Fax
- (843) 652-3602
- NPI assigned
- Jun 26, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 15696 | SC | Primary |
Addresses
Primary practice location
4181 Highway 17
Murrells Inlet, SC 29576-5019
Mailing address
204 Air Stream Dr
Myrtle Beach, SC 29577-9009
Phone (434) 841-5683
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15696 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1962390013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 AIR STREAM DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295779009",
"telephone_number": "434-841-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4181 HIGHWAY 17",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765019",
"telephone_number": "843-652-6077",
"fax_number": "843-652-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RAVEN",
"middle_name": "CIARA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "15696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.