Individual provider Active NPI

Joyce R Lane, LCSW-A

  • Clinical Social Worker
  • Lumberton, NC
National Provider Identifier
1104238997
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008511 Issued in NC
Practice address
3581 Lackey St
Lumberton, NC 28360-9048
Phone
(910) 738-5023
Fax
(910) 738-1451
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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 P008511 NC Primary

Addresses

Primary practice location

3581 Lackey St
Lumberton, NC 28360-9048

Mailing address

3581 Lackey St
Lumberton, NC 28360-9048
Phone (910) 738-5023

Other identifiers 1

IdentifierTypeStateIssuer
P008511MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P008511NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Behavioral Healthcare Services Clinical PastSince Sep 22, 2012 Accepting new patients

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1104238997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 LACKEY ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609048",
            "telephone_number": "910-738-5023",
            "fax_number": "910-738-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 LACKEY ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609048",
            "telephone_number": "910-738-5023",
            "fax_number": "910-738-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JOYCE",
        "middle_name": "R",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P008511",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.