Individual provider Active NPI

Christine Denaro, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1316587504
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018767 Issued in NC
Practice address
3002 Armstrong St
San Diego, CA 92111-5702
Phone
(858) 277-9550
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018767 NC Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

3002 Armstrong St
San Diego, CA 92111-5702

Mailing address

311 Williamson Rd Ste 103
Mooresville, NC 28117-5967
Phone (704) 360-3049

Other practice location 1

10430 Harris Oak Blvd Ste L
Charlotte, NC 28269-7513
Phone (704) 317-2930

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
I20240613004108 NC Practitioner - Clinical Social Worker 7315480779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P018767NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling and Wellness, PLLC Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

311 Williamson Rd
Ste 103
Mooresville, NC 28117
Phone (704) 360-3049

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1316587504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WILLIAMSON RD STE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175967",
            "telephone_number": "704-360-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 ARMSTRONG ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115702",
            "telephone_number": "858-277-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10430 Harris Oak Blvd Ste L",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282697513",
            "country_code": "US",
            "telephone_number": "704-317-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENARO",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018767",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.