Individual provider Active NPI

Nelson Louis

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1336567296
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008520 Issued in NC
Practice address
5318 Highgate Dr Ste 231
Durham, NC 27713-6631
Phone
(919) 416-0800
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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 P008520 NC Primary

Addresses

Primary practice location

5318 Highgate Dr Ste 231
Durham, NC 27713-6631

Mailing address

5318 Highgate Dr Ste 231
Durham, NC 27713-6631
Phone (919) 416-0800

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
I20200311002652 NC Practitioner - Clinical Social Worker 1153759873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perkins Counseling and Psychological Services, PLLCGroup PAC ID 6800052234, 11 clinicians

Practice addresses (Care Compare)

10580 Ligon Mill Rd
Suite 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P008520NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins Counseling and Psychological Services, PLLC CurrentSince Dec 22, 2019 Accepting new patients

Locations

10580 Ligon Mill Rd
#210
Wake Forest, NC 27587
Phone (919) 263-9592

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1336567296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR STE 231",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136631",
            "telephone_number": "919-416-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR STE 231",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136631",
            "telephone_number": "919-416-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.