NPIMap

Organization Active NPI

New Directions TLC LLP

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1316996416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004783 Issued in NC
Legal business name
NEW DIRECTIONS TLC LLP
Practice address
4140 Ferncreek Dr
Suite 204
Fayetteville, NC 28314-2563
Phone
(910) 223-7700
NPI assigned
May 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diana Mousseau, LCSWNPI 1497704449
Title
51 Partner
Phone
(910) 223-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C004783 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr
Suite 204
Fayetteville, NC 28314-2563

Mailing address

4140 Ferncreek Dr
Suite 204
Fayetteville, NC 28314-2563
Phone (910) 223-7700

National Provider Directory

National Provider Directory

Locations

4140 Ferncreek Dr
Ste 204
Fayetteville, NC 28314
Phone (910) 223-7700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316996416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 204",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-223-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 204",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-223-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS TLC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUSSEAU",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "51 PARTNER",
        "authorized_official_telephone_number": "910-223-7700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004783",
            "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 Aug 22, 2020; 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.