Active NPI
Yineiry Triguero, LCSW
- Clinical Social Worker
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016639
- Practice address
- 806 Hay St
Fayetteville, NC 28305-5312 - Phone
- (910) 860-7008
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | P017549 | NC | |
| Clinical Social Worker | 1041C0700X | C016639 | NC | Primary |
Addresses
Primary practice location
806 Hay St
Fayetteville, NC 28305-5312
Mailing address
806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15655034 | Other | NC | CAQH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240327003038 | NC | Practitioner - Clinical Social Worker | 6406293398 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7400 Carmel Executive Park Dr
Suite 155
Charlotte, NC 28226-8242
Phone (336) 944-6522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P017549 | NC | MD | Mental Health Counselor |
| C016639 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haymount Institute for Psychological Services, PLLC | Mental Health | Current | Accepting new patients |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Haymount Institute for Psychological Services, PLLC | Mental Health | Current | Accepting new patients |
| Optum Behavioral Care of North Carolina, P.C. | Clinical | Current | Accepting new patients |
Locations
1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202
7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208
231 Meed Ct
Ste 201
Fayetteville, NC 28303
Phone (828) 232-8934
806 Hay St
Fayetteville, NC 28305
Phone 9108607008117
131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222
Organizations & group practices 4
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.
-
- Counseling Psychologist
- Hillsborough, NC
- NPI 1629843933
NC
-
- Clinical Psychologist
- Fayetteville, NC
- NPI 1437320892
Mental Health, NC
-
- Clinical Psychologist
- Concord, NC
- NPI 1316825656
Mental Health
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1194390104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055312",
"telephone_number": "910-860-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055312",
"telephone_number": "910-860-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIGUERO",
"first_name": "YINEIRY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2024-04-13",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P017549",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15655034",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.