Organization Active NPI

Symmetry Health Services PLLC

  • Clinical Social Worker
  • Laurinburg, NC
National Provider Identifier
1225549314
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010965 Issued in NC
Legal business name
SYMMETRY HEALTH SERVICES PLLC
Practice address
501A Westwood Way
Laurinburg, NC 28352-3459
Phone
(910) 361-4522
Fax
(910) 361-4759
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Denise Bostick-Fairley, LCSW, LCASA, CCSOTSNPI 1619359924
Title
Owner
Phone
(910) 361-4522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LCAS-22162 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C010965 NC Primary
Community/Behavioral Health Agency 251S00000X NC

Addresses

Primary practice location

501A Westwood Way
Laurinburg, NC 28352-3459

Mailing address

PO Box 2425
Laurinburg, NC 28353-2425
Phone (910) 361-4522

Other practice location 1

704 Progress Pl Ste B
Laurinburg, NC 28352-5545
Phone (910) 361-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171227000459 NC Part B Supplier - Clinic/Group Practice 9234497058 Receives reassigned benefits from 1 practitioner
Practice locations: Laurinburg, NC

National Provider Directory

National Provider Directory

Locations

501A Westwood Way
Laurinburg, NC 28352
Phone (910) 291-3315

704B Progress Pl
Laurinburg, NC 28352
Phone (910) 217-1862

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1225549314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2425",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532425",
            "telephone_number": "910-361-4522",
            "fax_number": "910-361-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A WESTWOOD WAY",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523459",
            "telephone_number": "910-361-4522",
            "fax_number": "910-361-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Progress Pl Ste B",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525545",
            "country_code": "US",
            "telephone_number": "910-361-4522",
            "fax_number": "910-361-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYMMETRY HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "BOSTICK-FAIRLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-361-4522",
        "authorized_official_credential": "LCSW, LCASA, CCSOTS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010965",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.