Paula D Thacker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017831 Issued in NC

Practice address

2719 Neuse Blvd Ste D
New Bern, NC 28562-2857

Phone

(252) 514-9888

Fax

(252) 514-2881

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1215652722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WOODCROFT PKWY APT 3003",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138290",
            "telephone_number": "919-724-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 NEUSE BLVD STE D",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622857",
            "telephone_number": "252-514-9888",
            "fax_number": "252-514-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 Neuse Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285622840",
            "country_code": "US",
            "telephone_number": "252-514-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "PAULA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dacia Terry, LMFTA
• Test Me Out Inc (Second Nature)
• Emily Marie Tetreault, PA
• Samantha Beatrice Thall, LCSWA
• Bijaya Thapa
• Rojina Thapa
• The Eye Site of New Bern OD PA
• The Heart Center of Eastern Carolina

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, 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 Oct 6, 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.