Ceara Leigh Cuthbertson, MSW, LCSW

Key facts

NPI

1386097939

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

C011822 (NC)

Practice address

755 Sam Brown LN
Newland, NC 28657-9012

Phone

(828) 414-8755

Fax

(828) 414-0755

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

No

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.

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  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Ceara Leigh Calloway Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2021.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1386097939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SAM BROWN LN",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286579012",
            "telephone_number": "828-414-8755",
            "fax_number": "828-414-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SAM BROWN LN",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286579012",
            "telephone_number": "828-414-8755",
            "fax_number": "828-414-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTHBERTSON",
        "first_name": "CEARA",
        "middle_name": "LEIGH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010611",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CEARA",
            "last_name": "CALLOWAY",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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