Life Matters Centers for Hope, Health and Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6216 Issued in NC

Legal business name

LIFE MATTERS CENTERS FOR HOPE, HEALTH AND HEALING

Practice address

408 Waddell Drive
Fayetteville, NC 28301

Phone

(910) 483-7068

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Pearlie Mae Hodges, LCSWNPI 1962541573

Title

Executive Director

Phone

(910) 483-7068

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Pearlie Mae Hodges, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1962541573
  Medicare reassignment NPD Authorized official
• Priscilla Sterine Burton

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1831142017
  Medicare reassignment

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1245589076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9532",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28311",
            "telephone_number": "910-483-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WADDELL DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28301",
            "telephone_number": "910-483-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MATTERS CENTERS FOR HOPE, HEALTH AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "PEARLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-483-7068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "6216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann K. Lieberman, O.D.
• Nathan A. Lieberman, O.D.
• Life Enhancement Services
• Life Enhancement Services
• Life Matrix NC PLLC
• Life Net Services
• Life Net Services
• Life Net Services
• Life St. Joseph of the Pines, Inc.
• Life Support Counseling, PLLC (Hilary Watson, LCSW)

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Sep 7, 2012; 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.