Active NPI
Rachel Leigh Macko, LCSW
- Social Worker
- Fuquay Varina, NC
National Provider Identifier
1356589485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C009577
- Practice address
- 1517 N Main St
Fuquay Varina, NC 27526-8579 - Phone
- (919) 593-8919
- NPI assigned
- Jan 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C009577 | NC | Primary |
Addresses
Primary practice location
1517 N Main St
Fuquay Varina, NC 27526-8579
Mailing address
1517 N Main St
Fuquay Varina, NC 27526-8579
Phone (919) 593-8919
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151030000025 | NC | Practitioner - Clinical Social Worker | 5799972527 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Verna Dority MSW CCSW Inc
Practice addresses (Care Compare)
1517 N Main St
Fuquay Varina, NC 27526-8579
Phone (919) 762-3185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009577 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Current | Accepting new patients |
Locations
1517 N Main St
Fuquay Varina, NC 27526
Phone (919) 346-6098
602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185
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": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1356589485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275268579",
"telephone_number": "919-593-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275268579",
"telephone_number": "919-593-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKO",
"first_name": "RACHEL",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C009577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.