Active NPI
Peter Sterrett, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1033111398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005505
- Practice address
- 433 W Main St
Durham, NC 27701-3217 - Phone
- (919) 433-0170
- Fax
- (919) 226-0026
- NPI assigned
- Jun 1, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 0904002496 | VA | |
| Clinical Social Worker | 1041C0700X | C005505 | NC | Primary |
Addresses
Primary practice location
433 W Main St
Durham, NC 27701-3217
Mailing address
1005 Senoma PL
Apex, NC 27502-8982
Phone (919) 303-3425
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9374511 | Other | VA | PHCS |
| 008912793 | Medicaid | VA | |
| 776769000 | Other | VA | MAGELLAN HEALTH SERVICES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C005505 | NC | MD | Clinical Social Worker |
| 0904002496 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. | Past | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Past | Accepting new patients | |
| Hopelink Behavioral Health | 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.
-
- Pharmacy
- New Bern, NC
- NPI 1013769629
-
- Mental Health Counselor
- Durham, NC
- NPI 1265594105
-
- Voluntary or Charitable Agency
- Oakton, VA
- NPI 1275639684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033111398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SENOMA PL",
"city": "APEX",
"state": "NC",
"postal_code": "275028982",
"telephone_number": "919-303-3425",
"fax_number": "919-226-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 W MAIN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013217",
"telephone_number": "919-433-0170",
"fax_number": "919-226-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERRETT",
"first_name": "PETER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002496",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9374511",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008912793",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "776769000",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Stepping Stones Youth Services, LLC
- Jessica Kesler Stepps, DNP
- Crystal Elizabeth Sterling Simmons, MSW, LCSW
- Leslie Stern, CNM, IBCLC
- Michelle Stern
- Steven J Kim DDS and Wenjing Pang DDS PLLC
- Stevens Chiropractic and Wellness Center
- Angelina Valerie Stevens, D.C
- David Lane Stevens, MD
- Joey Stevens, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.