Individual provider Active NPI

Christine Pavey, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1073155388
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012635 Issued in NC
Practice address
3622 Lyckan Pkwy Ste 3002
Durham, NC 27707-2572
Phone
(336) 583-6842
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 C012635 NC Primary

Addresses

Primary practice location

3622 Lyckan Pkwy Ste 3002
Durham, NC 27707-2572

Mailing address

6030 Big Oak Dr
Durham, NC 27705-9207
Phone (336) 583-6842

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL theranest.com CAS Counseling Services, PLLC

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

LicenseStateTypeSpecialty
C012635NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1073155388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 BIG OAK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277059207",
            "telephone_number": "336-583-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 3002",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072572",
            "telephone_number": "336-583-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEY",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theranest.com",
            "affiliation": "Y",
            "affiliationName": "CAS Counseling Services, PLLC",
            "address_1": "3622 Lyckan Pkwy Ste 3002",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277072572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.