Active NPI
Ilanit Diana Lazar, L.C.S.W.
- Clinical Social Worker
- Kannapolis, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004140
- Practice address
- 1305 S Cannon Blvd
Kannapolis, NC 28083-6232 - Phone
- (704) 939-1100
- Fax
- (704) 939-1173
- NPI assigned
- Jul 31, 2006
- Last updated
- May 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004140 | NC | Primary |
Addresses
Primary practice location
1305 S Cannon Blvd
Kannapolis, NC 28083-6232
Mailing address
1305 S Cannon Blvd
Kannapolis, NC 28083-6232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003315 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 N 1St St
Suite 1
Albemarle, NC 28001-2819
Phone (704) 983-2117
1104 A S Main St
Lexington, NC 27292-3134
Phone (336) 242-2450
1400 Willow LN
North Wilkesboro, NC 28659-3551
Phone (336) 667-5151
205 Memorial Dr
Pinehurst, NC 28374-8712
Phone (970) 295-6853
2129 Statesville Blvd
Salisbury, NC 28147-1411
Phone (704) 633-3616
227 N Main St
Troy, NC 27371-3058
Phone (910) 572-3681
284 Executive Park Dr
Suite 100
Concord, NC 28025-1833
Phone (704) 939-1100
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 89.03
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 90.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004140 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Clinical | Current | Accepting new patients |
Locations
1000 N 1st St
Ste 1
Albemarle, NC 28001
Phone (704) 983-2117
1305 S Cannon Blvd
Kannapolis, NC 28083
Phone (704) 933-3212
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
Interoperability endpoints
- ilanit.lazar.p1@direct.daymarkrecovery.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1063428399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836232",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "ILANIT",
"middle_name": "DIANA",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003315",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.