Individual provider Active NPI

Barbara Gina Garrett, L.I.C.S.W.; LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1124213491
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005853 Issued in NC
Practice address
8406 Six Forks Road
Suite 201 and 204
Raleigh, NC 27615-5916
Phone
(919) 617-9656
Fax
(919) 617-9656
NPI assigned
Sep 10, 2007
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC302700 DC
Clinical Social Worker 1041C0700X C005853 NC Primary

Addresses

Primary practice location

8406 Six Forks Road
Suite 201 and 204
Raleigh, NC 27615-5916

Mailing address

8406 Six Forks Road
Suite 201 and 204
Raleigh, NC 27615-5916
Phone (919) 617-9656

Other practice location 1

10511 Rosegate Ct Unit 207
Raleigh, NC 27617-5918
Phone (202) 360-7242

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206001868 NC Practitioner - Clinical Social Worker 7416237565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindly Group, PLLCGroup PAC ID 3072744028, 7 clinicians

Practice addresses (Care Compare)

501 Keisler Dr
Suite 104
Cary, NC 27518-9322
Phone (919) 617-9656

8406 Six Forks Rd
Suite 204
Raleigh, NC 27615-3074
Phone (919) 617-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC302700DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindly Group, PLLC Clinical CurrentSince Oct 6, 2016 Accepting new patients

Locations

501 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 617-9656

8406 Six Forks Rd
Ste 201
Raleigh, NC 27615
Phone (919) 617-9656

8406 Six Forks Rd
Ste 204
Raleigh, NC 27615
Phone (919) 617-9656

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1124213491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS ROAD",
            "address_2": "SUITE 201 AND 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155916",
            "telephone_number": "919-617-9656",
            "fax_number": "919-617-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS ROAD",
            "address_2": "SUITE 201 AND 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155916",
            "telephone_number": "919-617-9656",
            "fax_number": "919-617-9656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10511 Rosegate Ct Unit 207",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276175918",
            "country_code": "US",
            "telephone_number": "202-360-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "BARBARA",
        "middle_name": "GINA",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.; LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.