Active NPI
Elaine Wilder Dean
- Social Worker
- Greensboro, NC
National Provider Identifier
1346569795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C001373
- Practice address
- 710 S Benbow Rd
Greensboro, NC 27401-3409 - Phone
- (336) 274-9884
- NPI assigned
- May 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C001373 | NC | Primary |
Addresses
Primary practice location
710 S Benbow Rd
Greensboro, NC 27401-3409
Mailing address
710 S Benbow Rd
Greensboro, NC 27401-3409
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": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1346569795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S BENBOW RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274013409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S BENBOW RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274013409",
"telephone_number": "336-274-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "ELAINE",
"middle_name": "WILDER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C001373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.