Organization Active NPI

Trinity Innovative Programming Services, Inc.

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1265697122
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6106619 Issued in NC
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

Updated by the provider on Jul 21, 2008

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.