Active NPI
Trinity Innovative Programming Services, Inc.
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1265697122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6106619
- Legal business name
- TRINITY INNOVATIVE PROGRAMMING SERVICES, INC.
- Practice address
- 100 Hay St
Suite 1000
Fayetteville, NC 28301-5676 - Phone
- (910) 677-0014
- Fax
- (910) 677-0013
- NPI assigned
- Jul 21, 2008
- 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
- Mr. Darius Charell Monroe
- Title
- President/Ceo
- Phone
- (910) 977-3696
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | 6106619 | NC | Primary |
Addresses
Primary practice location
100 Hay St
Suite 1000
Fayetteville, NC 28301-5676
Mailing address
100 Hay St
Suite 1000
Fayetteville, NC 28301-5676
Phone (910) 677-0014
National Provider Directory
National Provider DirectoryLocations
100 Hay St
Ste 1000
Fayetteville, NC 28301
Phone (910) 433-4477
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1619003852
-
- Clinical Social Worker
- Hope Mills, NC
- NPI 1932371580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1265697122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HAY ST",
"address_2": "SUITE 1000",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283015676",
"telephone_number": "910-677-0014",
"fax_number": "910-677-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAY ST",
"address_2": "SUITE 1000",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283015676",
"telephone_number": "910-677-0014",
"fax_number": "910-677-0013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY INNOVATIVE PROGRAMMING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "DARIUS",
"authorized_official_middle_name": "CHARELL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "910-977-3696",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "6106619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.