Individual provider Active NPI

Mary Margaret Thompson-Leary, L.C.S.W.

  • Clinical Social Worker
  • Lakeview, NC
National Provider Identifier
1013937135
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005735 Issued in NC
Practice address
285 Camp Easter Rd.
Lakeview, NC 28350
Phone
(910) 245-4339
NPI assigned
Jul 20, 2006
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1433 NC
Clinical Social Worker 1041C0700X C005735 NC Primary

Addresses

Primary practice location

285 Camp Easter Rd.
Lakeview, NC 28350

Mailing address

4307 Airport Rd
Pinehurst, NC 28374-8995
Phone (919) 400-5560

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
1433NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Health Care Corporation Past Accepting new patients
Robeson Health Care Corporation Addiction (Substance Use Disorder) Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1013937135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 AIRPORT RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748995",
            "telephone_number": "919-400-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CAMP EASTER RD.",
            "city": "LAKEVIEW",
            "state": "NC",
            "postal_code": "28350",
            "telephone_number": "910-245-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-LEARY",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1433",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeview, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.