Individual provider Active NPI

Eric Hall

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1154843654
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012391 Issued in NC
Practice address
2829 Arlington Ave
Fayetteville, NC 28303-5403
Phone
(910) 676-8019
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-23810 NC
Clinical Social Worker 1041C0700X P011717 NC
Clinical Social Worker 1041C0700X C012391 NC Primary

Addresses

Primary practice location

2829 Arlington Ave
Fayetteville, NC 28303-5403

Mailing address

3813 Shire St
Hope Mills, NC 28348-2995
Phone (910) 461-9291

Other practice location 1

2014 Litho Pl Ste 200
Fayetteville, NC 28304-2518
Phone (910) 703-8402

Other practice location 2

2827 Arlington Ave
Fayetteville, NC 28303-5403
Phone (910) 461-9291

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
I20230602002692 NC Practitioner - Clinical Social Worker 6507223732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P011717NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1154843654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 SHIRE ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482995",
            "telephone_number": "910-461-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ARLINGTON AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035403",
            "telephone_number": "910-676-8019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Litho Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042518",
            "country_code": "US",
            "telephone_number": "910-703-8402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2827 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035403",
            "country_code": "US",
            "telephone_number": "910-461-9291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011717",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.