Individual provider Active NPI

Stephanie English, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1073934147
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003644 Issued in NC
Practice address
3622 Lyckan Pkwy Ste 4008
Durham, NC 27707-2539
Phone
(919) 213-0225
Fax
(919) 869-1467
NPI assigned
Dec 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 C003644 NC Primary

Addresses

Primary practice location

3622 Lyckan Pkwy Ste 4008
Durham, NC 27707-2539

Mailing address

3622 Lyckan Pkwy Ste 4008
Durham, NC 27707-2539
Phone (919) 213-0225

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
I20200204002871 NC Practitioner - Clinical Social Worker 3577864834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Brody School of Medicine at East Carolina University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bull City Counseling, PLLCGroup PAC ID 6507292877, 3 clinicians

Practice addresses (Care Compare)

3500 Westgate Dr
Suite 303
Durham, NC 27707-2534
Phone (919) 213-0225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C003644NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bull City Counseling, PLLC Clinical CurrentSince Nov 9, 2019 Accepting new patients

Locations

3500 Westgate Dr
Ste 303
Durham, NC 27707
Phone (919) 213-0225

3622 Lyckan Pkwy
Ste 4008
Durham, NC 27707
Phone (919) 213-0225

Organizations & group practices 1

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": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1073934147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4008",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072539",
            "telephone_number": "919-213-0225",
            "fax_number": "919-869-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4008",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072539",
            "telephone_number": "919-213-0225",
            "fax_number": "919-869-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.