Organization Active NPI

Compassion Project

  • Clinical Social Worker
  • Monroe, NC
National Provider Identifier
1174861314
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004271 Issued in NC
Legal business name
COMPASSION PROJECT
Practice address
1011 E Highway 218
Monroe, NC 28110-7020
Phone
(704) 254-1397
NPI assigned
Jan 23, 2013
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Maria W Stine, LCSWNPI 1972856912
Title
Owner/Sole Proprietor
Phone
(704) 254-1397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004271 NC Primary

Addresses

Primary practice location

1011 E Highway 218
Monroe, NC 28110-7020

Mailing address

1011 E Highway 218
Monroe, NC 28110-7020
Phone (704) 254-1397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130313000107 NC Part B Supplier - Clinic/Group Practice 8729233085 Receives reassigned benefits from 1 practitioner
Practice locations: Biscoe, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1174861314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E HIGHWAY 218",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107020",
            "telephone_number": "704-254-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E HIGHWAY 218",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107020",
            "telephone_number": "704-254-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "704-254-1397",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.