Active NPI
Christine Adams
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1164098372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016215
- Practice address
- 3600 N Duke St Unit 1094
Durham, NC 27704-1709 - Phone
- (919) 627-7504
- NPI assigned
- May 28, 2021
- Last updated
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016215 | NC | Primary |
Addresses
Primary practice location
3600 N Duke St Unit 1094
Durham, NC 27704-1709
Mailing address
3600 North Duke Street
Suite 1, #1094
Durham, NC 27704-1427
Phone (919) 627-7504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P016215 | Other | NC | LCSWA LICENSE NUMBER FROM NC SOCIAL WORK LICENSING BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016215 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1164098372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NORTH DUKE STREET",
"address_2": "SUITE 1, #1094",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041427",
"telephone_number": "919-627-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 N DUKE ST UNIT 1094",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041709",
"telephone_number": "919-627-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSWA LICENSE NUMBER FROM NC SOCIAL WORK LICENSING BOARD",
"identifier": "P016215",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.