Active NPI
Caitlyn Grace Hough, LCSW
- Clinical Social Worker
- Lexington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012475
- Practice address
- 1104A S Main St
Lexington, NC 27292-3134 - Phone
- (336) 242-2450
- Fax
- (336) 249-9920
- NPI assigned
- Nov 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C012475 | NC | Primary |
Addresses
Primary practice location
1104A S Main St
Lexington, NC 27292-3134
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201229001475 | NC | Practitioner - Clinical Social Worker | 1052724622 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 89.03
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 90.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C012475 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of the Piedmont, Inc | Current | Accepting new patients | |
| Daymark Recovery Services, Inc. | Clinical | Current | Accepting new patients |
| Family Service of the Piedmont, Inc. | Clinical | Current | Accepting new patients |
Locations
315 E Washington St
Greensboro, NC 27401
Phone (336) 387-6161
902 Bonner Dr
Jamestown, NC 27282
Phone (336) 387-6161
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
Interoperability endpoints
- caitlyn.hough.p1@direct.daymarkrecovery.nextgenshare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
Clinical, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1114522141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104A S MAIN ST",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923134",
"telephone_number": "336-242-2450",
"fax_number": "336-249-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGH",
"first_name": "CAITLYN",
"middle_name": "GRACE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NC
- Hospice of Davidson County North Carolina, Inc.
- Hospice of Davidson County North Carolina, Inc.
- Hospice Pharmacy Services
- Hospitalist Medicine Physicians of North Carolina, PLLC
- Faith Houck-Wylie, LCMHCA
- Shea Howard, PHARMD
- Chrissy Howell, MA, CCC-SLP
- Stephanie Hodges Howell, OTR/L
- Stephen S Hsieh, M.D.
- Lauren Charles Hubbard, LCAS-A, ATR-P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.