Courtenay Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008351 Issued in NC

Practice address

1101 S Andrews Ave
Goldsboro, NC 27530-6622

Phone

(919) 892-6614

Fax

(919) 289-1490

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, FL, WA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC, WA

  Medicare reassignment NPD
• Eagle Vision Empowerment Services

  • Clinical Social Worker
  • Goldsboro, NC
  • NPI 1972094902
  NPD Authorized official
• Wayne Cares Inc.

  • Voluntary or Charitable Agency
  • Goldsboro, NC
  • NPI 1518414465
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1194150136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S ANDREWS AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306622",
            "telephone_number": "919-892-6614",
            "fax_number": "919-289-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S ANDREWS AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306622",
            "telephone_number": "919-892-6614",
            "fax_number": "919-289-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Edgewood Ave W Ste B",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322087209",
            "country_code": "US",
            "telephone_number": "904-358-8480",
            "fax_number": "904-358-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTENAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14380",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twana Hadden
• Alysha Hale, PHARMD
• Halikierra Community Services, LLC
• April Hall, COTA
• Aprila Hall
• Jenny Lind Hall, DPM
• Jamie Ryan Ham, NP-C
• Portia Wade Hamilton
• Sean Michael Hamilton, D.D.S.
• Hasina Hamin

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.