NPIMap

Organization Active NPI

Montgomery County DSS

  • Social Worker
  • Troy, NC
National Provider Identifier
1093913253
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MONTGOMERY COUNTY DSS
Practice address
102 E Spring St
Troy, NC 27371-3056
Phone
(910) 576-6531
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Jim Sanders
Title
Director
Phone
(910) 576-6531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

102 E Spring St
Troy, NC 27371-3056

Mailing address

102 E Spring St
Troy, NC 27371-3056
Phone (910) 576-6531

Other identifiers 1

IdentifierTypeStateIssuer
3408058MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County DSS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 E Spring St
Troy, NC 27371
Phone (910) 576-6531

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1093913253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E SPRING ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713056",
            "telephone_number": "910-576-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SPRING ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713056",
            "telephone_number": "910-576-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-576-6531"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408058",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.