Individual provider Active NPI

Nancy W Baraks, LCSW, LCAS-A

  • Clinical Social Worker
  • Burlington, NC
National Provider Identifier
1053673624
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008984 Issued in NC
Practice address
2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone
(336) 229-5905
Fax
(336) 229-5906
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008984 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21183 NC

Addresses

Primary practice location

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111

Mailing address

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 229-5905

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924000691 NC Practitioner - Clinical Social Worker 6305065350 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008984NCMDClinical Social Worker
21183NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc CurrentSince Jul 15, 2014 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients
Rha Health Services, Inc CurrentSince Jul 15, 2014 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

2732 Ann Elizabeth Dr
Burlington, NC 27215
Phone (336) 227-5050

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1053673624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155111",
            "telephone_number": "336-229-5905",
            "fax_number": "336-229-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155111",
            "telephone_number": "336-229-5905",
            "fax_number": "336-229-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKS",
        "first_name": "NANCY",
        "middle_name": "W",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008984",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.