Individual provider Active NPI

Michael Wayne Herring, MSW

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1356446660
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003689 Issued in NC
Practice address
1400 Wayne Memorial Dr
Suite a
Goldsboro, NC 27534-2256
Phone
(919) 739-9500
Fax
(919) 739-9510
NPI assigned
Sep 13, 2006
Last updated
Jul 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 659 NC
Clinical Social Worker 1041C0700X C003689 NC Primary

Addresses

Primary practice location

1400 Wayne Memorial Dr
Suite a
Goldsboro, NC 27534-2256

Mailing address

1400 Wayne Memorial Drive
Suite a
Goldsboro, NC 27534
Phone (919) 739-9500

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
I20050202000807 NC Practitioner - Clinical Social Worker 1355392739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Wayne Memorial Dr
Suite a
Goldsboro, NC 27534-2256
Phone (919) 739-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
659NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Herring Human Services PA Clinical CurrentSince Jun 6, 2007 Accepting new patients
Eastpointe Human Services Past Accepting new patients
Wayne Psychiatric Associates, PA Clinical Past Accepting new patients
Corine's Care Management, Inc Past Accepting new patients
Corine's Care Management Past Accepting new patients

Locations

1400 Wayne Memorial Dr
Ste A
Goldsboro, NC 27534
Phone (919) 739-9500

Organizations & group practices 5

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1356446660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WAYNE MEMORIAL DRIVE",
            "address_2": "SUITE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-739-9500",
            "fax_number": "919-739-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WAYNE MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342256",
            "telephone_number": "919-739-9500",
            "fax_number": "919-739-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "659",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.