Active NPI
Mary Pinkham, LCSW
- Clinical Social Worker
- Eden, NC
National Provider Identifier
1356009385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017203
- 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, 2026
- 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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C017203 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockingham County Finance Office | Mental Health | Current | Accepting new patients |
| Integrated Therapies Center, PLLC | Mental Health | Past | 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.
-
dba Rockingham County Youth Services
- Community/Behavioral Health Agency
- Reidsville, NC
- NPI 1487268199
Mental Health
-
- Mental Health Counselor
- Eden, NC
- NPI 1205663580
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
- Bobby Christopher Phillips, PHARM.D.
- Physical Therapy and Hand Specialist, LLC
- Piedmont Joint Replacement, Back & Sports Medicine Center, PLLC
- Piedmont Podiatry Associates, PLLC (Piedmont Foot Center)
- Piedmont Stone Center
- Pioneer Apco LLC (UpStream Pharmacy Eden)
- Christopher John Pollina, MD
- Sameer Prasada, M.D.
- Gail Eaves Price
- Protherapy Concepts, Inc.
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.