Individual provider Active NPI

Essence N Hairston, LCSW, LCAS, CCS-I

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1316590805
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015777 Issued in NC
Practice address
6118 Saint Giles St Ste 120
Raleigh, NC 27612-7045
Phone
(984) 484-0209
NPI assigned
Jul 23, 2019
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25607 NC
Clinical Social Worker 1041C0700X C015777 NC Primary

Addresses

Primary practice location

6118 Saint Giles St Ste 120
Raleigh, NC 27612-7045

Mailing address

410 N Greensboro St
Carrboro, NC 27510-1845
Phone (919) 966-9803

Other practice location 1

410 N Greensboro St
Carrboro, NC 27510-1845
Phone (919) 966-9803

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-25607NCMDAddiction (Substance Use Disorder) Counselor
C015777NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1316590805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101845",
            "telephone_number": "919-966-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SAINT GILES ST STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127045",
            "telephone_number": "984-484-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 N Greensboro St",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101845",
            "country_code": "US",
            "telephone_number": "919-966-9803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "ESSENCE",
        "middle_name": "N",
        "credential": "LCSW, LCAS, CCS-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.