Active NPI
Erum Agha, PHD, MSW, LCSW
- Clinical Social Worker
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013370
- Practice address
- 2310 S Miami Blvd Ste 136
Durham, NC 27703-5799 - Phone
- (919) 401-8261
- NPI assigned
- Jan 6, 2019
- Last updated
- Apr 27, 2022
- 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 | C013370 | Primary |
Addresses
Primary practice location
2310 S Miami Blvd Ste 136
Durham, NC 27703-5799
Mailing address
1417 Crimson Creek Dr
Durham, NC 27713-8219
Phone (919) 697-7325
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8601 Six Forks Rd
Suite 400
Raleigh, NC 27615-2965
Phone (919) 756-6210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannenta Wellness & Counseling Inc | Clinical | Current | Accepting new patients |
| Kids on Up Psychotherapy, Inc. | Clinical | Current | Accepting new patients |
Locations
101 Conner Dr
Ste 203
Chapel Hill, NC 27514
Phone (919) 240-5548
8601 Six Forks Rd
Ste 400
Raleigh, NC 27615
Phone (919) 637-4089
Organizations & group practices 2
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
- Raleigh, NC
- NPI 1184446106
-
dba Solomon Kobes, LCSW
- Clinical Social Worker
- Chapel Hill, NC
- NPI 1346601978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1003389776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 CRIMSON CREEK DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138219",
"telephone_number": "919-697-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 S MIAMI BLVD STE 136",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035799",
"telephone_number": "919-401-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGHA",
"first_name": "ERUM",
"name_prefix": "Ms.",
"credential": "PHD, MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-06",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "C013370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.