Individual provider Active NPI

Stephanie S Adams-Gilmer, LCSW

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1003010513
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006363 Issued in NC
Practice address
106 Osterville Dr
Holly Springs, NC 27540-7525
Phone
(574) 527-8731
NPI assigned
Jun 11, 2007
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005348A IN
Clinical Social Worker 1041C0700X C006363 NC Primary

Addresses

Primary practice location

106 Osterville Dr
Holly Springs, NC 27540-7525

Mailing address

435 Meredith Anne CT
Apt. 204
Raleigh, NC 27606-1385
Phone (574) 527-8731

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005348AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oaktree Counseling NC, PLLC Current Accepting new patients
New Day Counseling Center, Inc., P.C. PastSince Oct 8, 2004 Accepting new patients
Hambright and Associates Inc Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1003010513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MEREDITH ANNE CT",
            "address_2": "APT. 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061385",
            "telephone_number": "574-527-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OSTERVILLE DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407525",
            "telephone_number": "574-527-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS-GILMER",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005348A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.