Individual provider Active NPI

Catherine F Noonan, LCSW

  • Clinical Social Worker
  • Mount Olive, NC
National Provider Identifier
1215186481
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
616 Issued in NC
Practice address
1010 N Breazeale Ave
Unit C
Mount Olive, NC 28365-1106
Phone
(919) 658-7500
Fax
(919) 658-7509
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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 616 NC Primary

Addresses

Primary practice location

1010 N Breazeale Ave
Unit C
Mount Olive, NC 28365-1106

Mailing address

PO Box 427
Mount Olive, NC 28365-0427
Phone (919) 658-7500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000085 NC Practitioner - Clinical Social Worker 4284795204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Olive Family Medicine Center IncGroup PAC ID 3870547227, 10 clinicians

Practice addresses (Care Compare)

201 N Breazeale Ave
Mount Olive, NC 28365-1603
Phone (919) 658-4954

Merit-based Incentive Payment System (MIPS)

Final score
81.23 of 100Reported as group
Quality
70.25
Improvement activities
40
Cost
77.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
616NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Olive Family Medicine Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Wayne Health Physicians Current Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Sep 26, 2012 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Sep 26, 2012 Accepting new patients

Locations

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

201 N Breazeale Ave
Mount Olive, NC 28365
Phone (919) 658-4954

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.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1215186481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283650427",
            "telephone_number": "919-658-7500",
            "fax_number": "919-658-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BREAZEALE AVE",
            "address_2": "UNIT C",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651106",
            "telephone_number": "919-658-7500",
            "fax_number": "919-658-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "CATHERINE",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Olive, NC

Sources for this page

Verify at the official NPI Registry.