Individual provider Active NPI

Anju Verma, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1356510044
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004940 Issued in NC
Practice address
5720 Creedmoor Rd
Suite # 201
Raleigh, NC 27612-2256
Phone
(919) 946-5852
Fax
(919) 300-7471
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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 C004940 NC Primary

Addresses

Primary practice location

5720 Creedmoor Rd
Suite # 201
Raleigh, NC 27612-2256

Mailing address

5720 Creedmoor Rd
Suite # 201
Raleigh, NC 27612-2256
Phone (919) 946-5852

Other identifiers 1

IdentifierTypeStateIssuer
6106941MedicaidNC

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
I20130610000063 NC Practitioner - Clinical Social Worker 2365680055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5720 Creedmoor Rd
Suite 201
Raleigh, NC 27612-2383
Phone (919) 977-6018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Resources & Guidance Inc Clinical CurrentSince Mar 20, 2013 Accepting new patients

Locations

5720 Creedmoor Rd
Ste 201
Raleigh, NC 27612
Phone (919) 946-5852

Organizations & group practices 1

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1356510044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD",
            "address_2": "SUITE # 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122256",
            "telephone_number": "919-946-5852",
            "fax_number": "919-300-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD",
            "address_2": "SUITE # 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122256",
            "telephone_number": "919-946-5852",
            "fax_number": "919-300-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "ANJU",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.