Individual provider Active NPI

Barbara Mezo, L.C.S.W.

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1285664086
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004749 Issued in NC
Practice address
408 Pearson Dr
Durham, NC 27713-7117
Phone
(919) 402-7100
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004749 NC Primary

Addresses

Primary practice location

408 Pearson Dr
Durham, NC 27713-7117

Mailing address

408 Pearson Dr
Durham, NC 27713-7117
Phone (919) 402-7100

Other identifiers 1

IdentifierTypeStateIssuer
6003371MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000635 NC Practitioner - Clinical Social Worker 4284677733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Psychiatry and Emotional HealthGroup PAC ID 6608296744, 15 clinicians

Practice addresses (Care Compare)

530 New Waverly PL
Suite 314
Cary, NC 27518-7414
Phone (919) 854-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MD Psychiatry and Emotional Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

530 New Waverly Pl
Ste 314
Cary, NC 27518
Phone (919) 642-4802

1700 Kildaire Farm Rd
Ste 210
Cary, NC 27511
Phone (919) 341-6010

6104 Fayetteville Rd
Ste 101
Durham, NC 27713
Phone (919) 908-6444

1001 Navaho Dr
Ste 204
Raleigh, NC 27609
Phone (919) 854-0021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1285664086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PEARSON DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137117",
            "telephone_number": "919-402-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 PEARSON DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137117",
            "telephone_number": "919-402-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZO",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003371",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.