Individual provider Active NPI

Nina Kaye Hightower, MSW, LCSW

  • Clinical Social Worker
  • Yadkinville, NC
National Provider Identifier
1073843983
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P004531 Issued in NC
Practice address
403 E Main St
Yadkinville, NC 27055-8134
Phone
(828) 257-2930
Fax
(336) 677-1271
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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 P004531 NC Primary

Addresses

Primary practice location

403 E Main St
Yadkinville, NC 27055-8134

Mailing address

104 Echo Glen Dr
Apt B6
Winston Salem, NC 27106-5918
Phone (828) 448-7667

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
I20100724000315 NC Practitioner - Clinical Social Worker 2163554205 Reassigns benefits to 1 organization
Practice locations: Durham, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1024 Merrion Ave
Apt 415
Durham, NC 27703-0530
Phone (828) 448-7667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P004531NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC NC LLC Clinical CurrentSince May 15, 2018 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Apr 16, 2018 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Strategic Interventions, LLC Past Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

5509 Creedmoor Rd
Raleigh, NC 27612
Phone (919) 573-6520

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

Interoperability endpoints

  • Direct secure messaging: ninahightower@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1073843983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ECHO GLEN DR",
            "address_2": "APT B6",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065918",
            "telephone_number": "828-448-7667",
            "fax_number": "828-438-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558134",
            "telephone_number": "828-257-2930",
            "fax_number": "336-677-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "NINA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P004531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

Verify at the official NPI Registry.