Individual provider Active NPI

Vickie A Monsell-Gorbas, LMSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1073953980
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008699 Issued in NC
Practice address
1803 Chapel Hill Rd
Durham, NC 27707-1175
Phone
(919) 401-8000
Fax
(919) 401-8006
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 079898 NY
Clinical Social Worker 1041C0700X P008699 NC Primary

Addresses

Primary practice location

1803 Chapel Hill Rd
Durham, NC 27707-1175

Mailing address

1803 Chapel Hill Rd
Durham
Durham, NC 27707-1175
Phone (919) 401-8000

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
I20170328000876 NC Practitioner - Clinical Social Worker 0345525762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079898NYMDSocial Worker
P008699NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Clinic, PA Past Accepting new patients
Carter Clinic, P.a. PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 3

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1073953980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CHAPEL HILL RD",
            "address_2": "DURHAM",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071175",
            "telephone_number": "919-401-8000",
            "fax_number": "919-401-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CHAPEL HILL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071175",
            "telephone_number": "919-401-8000",
            "fax_number": "919-401-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSELL-GORBAS",
        "first_name": "VICKIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.