Anna Elaine Machin, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014505 Issued in NC

Practice address

105 Wind Chime CT
Raleigh, NC 27615-6460

Phone

(919) 916-5006

Fax

(919) 916-5313

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Anna Elaine Jacobsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1033723705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GETTYSBURG DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135162",
            "telephone_number": "919-624-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WIND CHIME CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156460",
            "telephone_number": "919-916-5006",
            "fax_number": "919-916-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHIN",
        "first_name": "ANNA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P014505",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JACOBSEN",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Macdonnell, ATC
• Katherine Nicole Macesich, MSW, LCSW
• Jason Machalicky, M.D.
• Deanna Everett Machesky, M. ED., CCC-SLP
• Ryan Dale Machiele, DO
• Mack Pediatrics PLLC
• Brittany Mack
• Dorothy Theresia Mack
• Emili Rachele Mack, MD
• Laila Amani Mack

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.