Active NPI
Carly Putnam
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1104438571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015353
- Practice address
- 3602 Christian CT
New Bern, NC 28560-4139 - Phone
- (607) 368-9889
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014545 | NC | |
| Clinical Social Worker | 1041C0700X | C015353 | NC | Primary |
Addresses
Primary practice location
3602 Christian CT
New Bern, NC 28560-4139
Mailing address
3602 Christian CT
New Bern, NC 28560-4139
Phone (607) 368-9889
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
| License | State | Type | Specialty |
|---|---|---|---|
| C015353 | NC | MD | Clinical Social Worker |
| P014545 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1104438571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 CHRISTIAN CT",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604139",
"telephone_number": "607-368-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 CHRISTIAN CT",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604139",
"telephone_number": "607-368-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "CARLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014545",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.