Active NPI
Symmetry Health Services PLLC
- Clinical Social Worker
- Laurinburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Bostick-Fairley, LCSW, LCASA, CCSOTS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22162 | NC | |
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Laurinburg, NC
- NPI 1619359924
-
- Clinical Social Worker
- Monroe, NC
- NPI 1154693877
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1134191463
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.