Anita Gordon Faircloth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011816 Issued in NC

Practice address

7709 Orange Grove Rd
Chapel Hill, NC 27516-8877

Phone

(919) 883-7503

NPI assigned

Jul 22, 2014

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1093122079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 ORANGE GROVE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168877",
            "telephone_number": "919-883-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 ORANGE GROVE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168877",
            "telephone_number": "919-883-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "ANITA",
        "middle_name": "GORDON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Factor, PHARM.D
• Tricia De Jesus Factora, MD
• Catherine Clare Fahey, MD
• Sarah Cashen Faigle, RD, LDN
• Fairbairn Enterprises LLC (AmeriCare HomeCare)
• Cassidy Beach Faircloth, PHARMD, BCOP, CPP
• Marco Lorenzo Fajardo
• James J Falcone, CO
• Donald Herman Falk, M.D.
• Katherine Huffman Falk, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.