Annie Elizabeth Vargas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007697 Issued in NC

Practice address

127 N Green St
Statesville, NC 28677-5375

Phone

(704) 766-6772

Fax

(704) 626-3349

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimus Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Gables, FL
  • NPI 1932881992
  NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225284086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 GORDON ST",
            "city": "TERRELL",
            "state": "NC",
            "postal_code": "286829730",
            "telephone_number": "704-677-6772",
            "fax_number": "704-626-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N GREEN ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775375",
            "telephone_number": "704-766-6772",
            "fax_number": "704-626-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 N Green St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286775375",
            "country_code": "US",
            "telephone_number": "704-677-6772",
            "fax_number": "704-626-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009095",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Vance, MD
• Katie Vang
• Lisa Vang
• Tasha Marie Vangile, FNP-C
• Candice Vanhoose, LPN
• Jennifer Harvey Varnum, PT
• Akshay Varsani
• Elizabeth Deboe Vaughan, LCMHC
• Mark Anthony Vaughn, MA, LPC
• Vaughters Specialized Consultative Services LLC

• Clinical Social Worker in Statesville, NC
• Providers in Statesville, 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 Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.