Individual provider Active NPI

Mary Pinkham, LCSW

  • Clinical Social Worker
  • Eden, NC
National Provider Identifier
1356009385
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017203 Issued in NC
Practice address
612 Business Park Dr Ste D
Eden, NC 27288-6461
Phone
(336) 344-1594
NPI assigned
Dec 7, 2021
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 C017203 NC Primary

Addresses

Primary practice location

612 Business Park Dr Ste D
Eden, NC 27288-6461

Mailing address

408 Roberts Rd
Eden, NC 27288-7645
Phone (336) 344-1594

Other practice location 1

6716 Lake Brandt Rd
Summerfield, NC 27358-9711
Phone (336) 344-1594

Other names 1

  • Mary Hedgecock Former name

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
C017203NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham County Finance Office Mental Health CurrentSince Dec 12, 2021 Accepting new patients
Integrated Therapies Center, PLLC Mental Health PastSince Sep 23, 2024 Accepting new patients

Locations

405 NC Highway 65
Reidsville, NC 27320
Phone (336) 342-5756

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, 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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1356009385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ROBERTS RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272887645",
            "telephone_number": "336-344-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BUSINESS PARK DR STE D",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272886461",
            "telephone_number": "336-344-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6716 Lake Brandt Rd",
            "address_purpose": "LOCATION",
            "city": "Summerfield",
            "state": "NC",
            "postal_code": "273589711",
            "country_code": "US",
            "telephone_number": "336-344-1594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKHAM",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HEDGECOCK",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.