Organization Active NPI

Integrated Behavioral Health Solutions PLLC

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1063878197
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008025 Issued in NC
Legal business name
INTEGRATED BEHAVIORAL HEALTH SOLUTIONS PLLC
Practice address
610 Summit Ave
Suite a
Greensboro, NC 27405-7742
Phone
(336) 355-1120
Fax
(844) 273-1785
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Ms. Sharon E Dempsey, LCSW
Title
Ceo
Phone
(336) 681-2773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C008025 NC Primary

Addresses

Primary practice location

610 Summit Ave
Suite a
Greensboro, NC 27405-7742

Mailing address

610 Summit Ave
Suite a
Greensboro, NC 27405-7742
Phone (336) 355-1120

Other identifiers 1

IdentifierTypeStateIssuer
1992058531MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1063878197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SUMMIT AVE",
            "address_2": "SUITE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057742",
            "telephone_number": "336-355-1120",
            "fax_number": "844-273-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SUMMIT AVE",
            "address_2": "SUITE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057742",
            "telephone_number": "336-355-1120",
            "fax_number": "844-273-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTH SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-681-2773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992058531",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.