Active NPI
Colleen Meyer, LCSW
- Clinical Social Worker
- Carrboro, NC
National Provider Identifier
1205243987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009204
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205243987 | Medicaid | NC |
Other names 1
- Colleen Payne
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
| License | State | Type | Specialty |
|---|---|---|---|
| C009204 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Carrboro, NC
- NPI 1578699542
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.