Individual provider Active NPI

Patti Leigh Cain, LCSW; LCAS

  • Clinical Social Worker
  • Hampstead, NC
National Provider Identifier
1134795487
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013353 Issued in NC
Practice address
233A Merchants Cir Ste 100
Hampstead, NC 28443-5419
Phone
(910) 386-9546
Fax
(704) 831-5308
NPI assigned
May 27, 2021
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24424 NC
Clinical Social Worker 1041C0700X C013353 NC Primary

Addresses

Primary practice location

233A Merchants Cir Ste 100
Hampstead, NC 28443-5419

Mailing address

3807 Wrightsville Ave Ste 21
Wilmington, NC 28403-8463
Phone (910) 386-9546

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
I20211109000501 NC Practitioner - Clinical Social Worker 2961891239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

233 A Merchants Cir
Suite 100
Hampstead, NC 28443-5419
Phone (910) 386-9546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24424NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cain Connections and Recovery Inc CurrentSince Jul 27, 2021 Accepting new patients

Locations

233A Merchants Cir
Ste 100
Hampstead, NC 28443
Phone (910) 386-9546

3807 Wrightsville Ave
Ste 21
Wilmington, NC 28403
Phone (910) 547-9402

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1134795487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 WRIGHTSVILLE AVE STE 21",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038463",
            "telephone_number": "910-386-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233A MERCHANTS CIR STE 100",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284435419",
            "telephone_number": "910-386-9546",
            "fax_number": "704-831-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "PATTI",
        "middle_name": "LEIGH",
        "credential": "LCSW; LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

Verify at the official NPI Registry.