Individual provider Active NPI

Emma Rice

  • Clinical Social Worker
  • Indian Trail, NC
National Provider Identifier
1114768140
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020639 Issued in NC
Practice address
120 Unionville Indian Trail Rd W Ste B202
Indian Trail, NC 28079-5670
Phone
(704) 234-8003
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 P020639 NC Primary

Addresses

Primary practice location

120 Unionville Indian Trail Rd W Ste B202
Indian Trail, NC 28079-5670

Mailing address

905 Kenilworth Ave Apt 335
Charlotte, NC 28204-3520
Phone (757) 812-8892

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
P020639NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stegall Counseling PLLC Clinical CurrentSince Jun 9, 2024 Accepting new patients

Locations

120 Unionville Indian Trail Rd W
Ste B202
Indian Trail, NC 28079
Phone (704) 234-8003

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1114768140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 KENILWORTH AVE APT 335",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043520",
            "telephone_number": "757-812-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL RD W STE B202",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795670",
            "telephone_number": "704-234-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.