Individual provider Active NPI

Dena Lind

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1063990307
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P011449 Issued in NC
Practice address
600 W Cabarrus St
Raleigh, NC 27603-1953
Phone
(919) 833-3312
Fax
(919) 833-3512
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P011449 NC Primary

Addresses

Primary practice location

600 W Cabarrus St
Raleigh, NC 27603-1953

Mailing address

600 W Cabarrus St
Raleigh, NC 27603-1953
Phone (919) 833-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 Eastowne Dr
Suite 220
Chapel Hill, NC 27514-6224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P011449NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven House Inc. Past Accepting new patients
Haven House Services Past Accepting new patients

Organizations & group practices 2

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1063990307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CABARRUS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031953",
            "telephone_number": "919-833-3312",
            "fax_number": "919-833-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CABARRUS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031953",
            "telephone_number": "919-833-3312",
            "fax_number": "919-833-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "DENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.