Individual provider Active NPI

Stephanie Bittle, L.C.S.W.

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1144649641
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009277 Issued in NC
Practice address
400 Crutchfield St
Durham, NC 27704-2771
Phone
(919) 471-6501
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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 P053329-1 NY
Clinical Social Worker 1041C0700X C009277 NC Primary

Addresses

Primary practice location

400 Crutchfield St
Durham, NC 27704-2771

Mailing address

716 Shady Lawn Rd
Chapel Hill, NC 27514-2010
Phone (919) 929-8875

Other identifiers 1

IdentifierTypeStateIssuer
37994568OtherNCDRIVER'S LICENSE

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
I20150713002070 NC Practitioner - Clinical Social Worker 3274752530 Practice locations: Durham, NC; Chapel Hill, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Crutchfield St
Suite C
Durham, NC 27704-2771
Phone 91947165018

716 Shady Lawn Rd
Chapel Hill, NC 27514-2010

North Duke Psychotherapy Offices
400 Crutchfield St. Suite C
Durham, NC 27704-2771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009277NCMDClinical Social Worker
P053329-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1144649641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SHADY LAWN RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142010",
            "telephone_number": "919-929-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "919-471-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTLE",
        "first_name": "STEPHANIE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P053329-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "37994568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.