Active NPI
Theresa Anh Dai Nguyen
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1023169653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P006735
- Practice address
- 315 E Washington St
Greensboro, NC 27401-2911 - Phone
- (336) 387-6161
- Fax
- (336) 387-9167
- NPI assigned
- Jan 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P006735 | NC | Primary |
| Clinical Social Worker | 1041C0700X | ASW27645 | CA |
Addresses
Primary practice location
315 E Washington St
Greensboro, NC 27401-2911
Mailing address
315 E Washington St
Greensboro, NC 27401-2911
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 |
|---|---|---|---|
| ASW27645 | CA | MD | Clinical Social Worker |
| P006735 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1023169653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E WASHINGTON ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E WASHINGTON ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012911",
"telephone_number": "336-387-6161",
"fax_number": "336-387-9167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THERESA",
"middle_name": "ANH DAI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P006735",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW27645",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.