Individual provider Active NPI

Mary Ladd Hebert, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1376689315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000706 Issued in NC
Practice address
2990 Bethesda PL
602-A
Winston Salem, NC 27103-3318
Phone
(336) 768-8281
Fax
(336) 768-5685
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C000706 NC Primary

Addresses

Primary practice location

2990 Bethesda PL
602-A
Winston Salem, NC 27103-3318

Mailing address

2990 Bethesda PL
602-A
Winston Salem, NC 27103-3318
Phone (336) 768-8281

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
I20080312000712 NC Practitioner - Clinical Social Worker 6709961832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2990 Bethesda PL
Suite 602B
Winston Salem, NC 27103-3309
Phone (336) 768-8281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions - Treatment Center for Anxiety and Depression CurrentSince Feb 15, 2008 Accepting new patients

Locations

2990 Bethesda Pl
Ste 602B
Winston Salem, NC 27103
Phone (336) 768-8281

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, 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376689315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 BETHESDA PL",
            "address_2": "602-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033318",
            "telephone_number": "336-768-8281",
            "fax_number": "336-768-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 BETHESDA PL",
            "address_2": "602-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033318",
            "telephone_number": "336-768-8281",
            "fax_number": "336-768-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "MARY",
        "middle_name": "LADD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.