Edwin Robert Alcorn, LCSW
Individual provider Active NPI Clinical Social Worker · Durham, NC
NPI 1134737877 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1134737877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C015264 (NC)
- Practice address
- 508 Fulton St
Durham, NC 27705-3875 - Phone
- (919) 360-5470
- NPI assigned
- Jul 20, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 Woodland CT
Cary, NC 27511-4537
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C015264 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C015264 | NC | Yes |
Addresses
Primary practice location
508 Fulton St
Durham, NC 27705-3875
Mailing address
114 Thetford CT
Chapel Hill, NC 27516-8730
Phone (919) 886-6712
Other practice location 1
114 Thetford Ct
Chapel Hill, NC 27516-8730
Phone (919) 886-6712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C015264 | Other | NC | NCSWCLB |
Other providers in Durham, NC
- Joseph Andrew Albright
- Meredith Rhodes Albright
- Tyler Albright
- Michelle Nicole Alby
- Cristina Alcaraz
- Laura Alder
- Julian McClees Aldridge III
- Aledade Care Solutions of North Carolina PC
- Catherine Alek
- Oleg Alekseev
All providers in Durham, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.