Individual provider Active NPI

Christine Anne Mills, MSW; LCSWA

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1396390456
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013918 Issued in NC
Practice address
2031 Martin Luther King Jr Dr Ste a
Greensboro, NC 27406-3300
Phone
(336) 790-9787
Fax
(336) 790-9786
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 P013918 NC Primary

Addresses

Primary practice location

2031 Martin Luther King Jr Dr Ste a
Greensboro, NC 27406-3300

Mailing address

5130 Country LN
Archdale, NC 27263-8371
Phone (336) 790-9787

Other names 1

  • Christine Anne Ferrara Former name

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
I20200728000469 NC Practitioner - Clinical Social Worker 3779907498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013918NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Current Accepting new patients
Monarch CurrentSince Apr 1, 2024 Accepting new patients
Monarch CurrentSince Apr 1, 2024 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

Organizations & group practices 3

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1396390456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 COUNTRY LN",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638371",
            "telephone_number": "336-790-9787",
            "fax_number": "336-790-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MARTIN LUTHER KING JR DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063300",
            "telephone_number": "336-790-9787",
            "fax_number": "336-790-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW; LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "FERRARA",
            "middle_name": "ANNE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.