Active NPI
Leticia Loperena
- Clinical Social Worker
- Kinston, NC
National Provider Identifier
1053808436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P011987
- Practice address
- 400 Glenwood Ave Ste 15
Kinston, NC 28501-3851 - Phone
- (252) 686-8091
- Fax
- (252) 686-8092
- NPI assigned
- Apr 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P011987 | NC | Primary |
Addresses
Primary practice location
400 Glenwood Ave Ste 15
Kinston, NC 28501-3851
Mailing address
400 Glenwood Ave Ste 15
Kinston, NC 28501-3851
Phone (252) 686-8091
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 |
|---|---|---|---|
| P011987 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Comprehensive Pain Specialists
- Durable Medical Equipment & Medical Supplies
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- NPI 1376054213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1053808436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GLENWOOD AVE STE 15",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013851",
"telephone_number": "252-686-8091",
"fax_number": "252-686-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GLENWOOD AVE STE 15",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013851",
"telephone_number": "252-686-8091",
"fax_number": "252-686-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPERENA",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P011987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.