Individual provider Active NPI

Colleen Meyer, LCSW

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1205243987
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009204 Issued in NC
Practice address
410 N Greensboro St Ste 220
Carrboro, NC 27510-1870
Phone
(919) 966-9803
Fax
(919) 966-9825
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009204 NC Primary

Addresses

Primary practice location

410 N Greensboro St Ste 220
Carrboro, NC 27510-1870

Mailing address

127 Kingston Dr
Chapel Hill, NC 27514-1650
Phone (919) 960-3775

Other practice location 1

127 Kingston Dr
Chapel Hill, NC 27514-1650
Phone (919) 960-3775

Other practice location 2

410 N Greensboro St Ste 120
Carrboro, NC 27510-1869
Phone (919) 966-9803

Other identifiers 1

IdentifierTypeStateIssuer
1205243987MedicaidNC

Other names 1

  • Colleen Payne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009204NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205243987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGSTON DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141650",
            "telephone_number": "919-960-3775",
            "fax_number": "919-960-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST STE 220",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101870",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Kingston Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141650",
            "country_code": "US",
            "telephone_number": "919-960-3775",
            "fax_number": "919-960-3799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Greensboro St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101869",
            "country_code": "US",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "COLLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205243987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "PAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.