Individual provider Active NPI

Barbara Ray Lovelady, MSW, LCSW, LCAS, CSI

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1083080592
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011981 Issued in NC
Practice address
1415 W NC Highway 54 # Sui
Durham, NC 27707-5577
Phone
(919) 612-1213
Fax
(919) 287-2245
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 C011981 NC Primary

Addresses

Primary practice location

1415 W NC Highway 54 # Sui
Durham, NC 27707-5577

Mailing address

3710 Shannon Rd Unit 52054
Durham, NC 27717-0750
Phone (919) 612-1213

Other names 1

  • Ms. Barbara Ray Harviala Rodriguez Former name

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
I20190320003370 NC Practitioner - Clinical Social Worker 0244570695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5669 Hornaday Rd
Unit B
Greensboro, NC 27409-2979
Phone (919) 612-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011981NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom House Recovery Center, Inc. PastSince Jan 8, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1083080592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SHANNON RD UNIT 52054",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277170750",
            "telephone_number": "919-612-1213",
            "fax_number": "919-287-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54 # SUI",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075577",
            "telephone_number": "919-612-1213",
            "fax_number": "919-287-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELADY",
        "first_name": "BARBARA",
        "middle_name": "RAY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LCAS, CSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "HARVIALA RODRIGUEZ",
            "middle_name": "RAY",
            "prefix": "MS.",
            "credential": "MSW, LCSW, LCASA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.