Active NPI
Carla Francisna Poyner
- Clinical Social Worker
- Elizabeth City, NC
National Provider Identifier
1306066931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012177
- Practice address
- 110 Medical Dr. Suite 5
Elizabeth City, NC 27909 - Phone
- (252) 384-0388
- Fax
- (252) 384-0188
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | C012177 | NC | Primary |
Addresses
Primary practice location
110 Medical Dr. Suite 5
Elizabeth City, NC 27909
Mailing address
PO Box 885
Ahoskie, NC 27910-0885
Phone (252) 439-0070
Other practice location 1
United States Air Force
1350 E. Broadway Suite 106
Tempe, AZ 85282
Phone (480) 968-8721
Other practice location 2
United States Air Force
1350 E. Broadway Suite 106
Tempe, AZ 85282
Phone (480) 968-8721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1306066931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 885",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279100885",
"telephone_number": "252-439-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MEDICAL DR. SUITE 5",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "27909",
"telephone_number": "252-384-0388",
"fax_number": "252-384-0188"
}
],
"practiceLocations": [
{
"address_1": "United States Air Force",
"address_2": "1350 E. Broadway Suite 106",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "85282",
"country_code": "US",
"telephone_number": "480-968-8721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "United States Air Force",
"address_2": "1350 E. Broadway Suite 106",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "85282",
"country_code": "US",
"telephone_number": "480-968-8721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POYNER",
"first_name": "CARLA",
"middle_name": "FRANCISNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
- Katrina Laverne Powell-Bell, OTR/L
- Carolyn O'Neill Powell, LCSW
- Charlene L Powell, SAP, LCAS, CADC,
- Robert N Powell, M.D.
- Casey Powles, DPT
- Praxair Healthcare Services, Inc.
- Prestige Cardiopulmonary Diagnostic Services, LLC
- Othella M Price, LMT
- Pride in North Carolina, Inc.
- Pride in North Carolina, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.