Individual provider Active NPI

Lorenzo T. Hansley, MSW, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1003213851
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009216 Issued in NC
Practice address
612 Pasteur Dr Ste 400
Greensboro, NC 27403-1120
Phone
(336) 294-1349
NPI assigned
Nov 21, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P009216 NC Primary

Addresses

Primary practice location

612 Pasteur Dr Ste 400
Greensboro, NC 27403-1120

Mailing address

1127 Ranger Dr
Hillsborough, NC 27278-9036
Phone (336) 382-9954

Other practice location 1

612 Pasteur Dr
Ste 300
Greensboro, NC 27403-1149
Phone (336) 294-1349

Other identifiers 1

IdentifierTypeStateIssuer
C010484OtherNCSWC&LB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628000968 NC Practitioner - Clinical Social Worker 9032488432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Journeys Counseling Center IncGroup PAC ID 4789828682, 5 clinicians

Practice addresses (Care Compare)

3405 W Wendover Ave
Suite a
Greensboro, NC 27407-1525
Phone (336) 294-1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009216NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Counseling Center Inc. Clinical CurrentSince Apr 4, 2017 Accepting new patients

Locations

3405 W Wendover Ave
Ste A
Greensboro, NC 27407
Phone (336) 235-2427

612 Pasteur Dr
Ste 300
Greensboro, NC 27403
Phone (336) 294-1349

612 Pasteur Dr
Ste 400
Greensboro, NC 27403
Phone (336) 294-1349

Organizations & group practices 1

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003213851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 RANGER DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789036",
            "telephone_number": "336-382-9954",
            "fax_number": "336-292-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031120",
            "telephone_number": "336-294-1349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Pasteur Dr",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031149",
            "country_code": "US",
            "telephone_number": "336-294-1349",
            "fax_number": "336-292-6711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSLEY",
        "first_name": "LORENZO",
        "middle_name": "T.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWC&LB",
            "identifier": "C010484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.