Active NPI
Theresa Rose Hypse, LCSW
- Clinical Social Worker
- Morganton, NC
National Provider Identifier
1346747540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010754
- Practice address
- 2095 Goodman Lake Rd
Morganton, NC 28655-7074 - Phone
- (828) 448-7797
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C010754 | NC | Primary |
Addresses
Primary practice location
2095 Goodman Lake Rd
Morganton, NC 28655-7074
Mailing address
2095 Goodman Lake Rd
Morganton, NC 28655-7074
Phone (828) 202-6945
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
Locations
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
Organizations & group practices 2
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": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1346747540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 GOODMAN LAKE RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286557074",
"telephone_number": "828-202-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 GOODMAN LAKE RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286557074",
"telephone_number": "828-448-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYPSE",
"first_name": "THERESA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.