Carolyn Sue Pape, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005406 Issued in NC

Practice address

7741 Market St
Suite H
Wilmington, NC 28411-8806

Phone

(910) 343-8424

Fax

(910) 686-7770

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carolyn Sue Grace Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling & Neurofeedback Center, Inc.

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1700982956
  NPD (past)
• Trinity Wellness Center of Wilmington Inc

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1841382173
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1134215536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BAYFIELD DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118713",
            "telephone_number": "910-319-3196",
            "fax_number": "910-319-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 MARKET ST",
            "address_2": "SUITE H",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118806",
            "telephone_number": "910-343-8424",
            "fax_number": "910-686-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "GRACE",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacie Panek, NP
• Beth Panoff, FNP-C-MSN
• Derek Tyler Pantiel, DPM
• Chloe Papa, PA-C
• Michael Alex Papagikos, M.D.
• Melissa Ashley Papio, D.M.D.
• Michael Jimmy Pappas, LCASA
• Sarah Jon Paquin, MS CCC-SLP
• Paradigm Performance Therapy LLC
• Paragon Billing LLC

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.