Individual provider Active NPI

Danielle Sibert

  • Clinical Social Worker
  • Spring Lake, NC
National Provider Identifier
1073123238
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014175 Issued in NC
Practice address
378 Heathrow Dr
Spring Lake, NC 28390-9266
Phone
(912) 228-1027
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 P014175 NC Primary

Addresses

Primary practice location

378 Heathrow Dr
Spring Lake, NC 28390-9266

Mailing address

378 Heathrow Dr
Spring Lake, NC 28390-9266
Phone (912) 228-1027

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
I20260128000844 NC Practitioner - Clinical Social Worker 4385122779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4140 Ferncreek Dr
Suite 203
Fayetteville, NC 28314-2563

4140 Ferncreek Dr
Suite 203
Fayetteville, NC 28314-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014175NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Pathway Therapy, PLLC Current Accepting new patients
Calming Earth Collective PLLC Clinical CurrentSince Dec 29, 2025 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 203
Fayetteville, NC 28314
Phone (910) 483-0018

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, 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1073123238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 HEATHROW DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909266",
            "telephone_number": "912-228-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 HEATHROW DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909266",
            "telephone_number": "912-228-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBERT",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

Verify at the official NPI Registry.