Individual provider Active NPI

Danielle Tawanda Ferebee, LCSW

  • Clinical Social Worker
  • Elizabeth City, NC
National Provider Identifier
1396393583
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014303 Issued in NC
Practice address
1313 N Road St Suite E #23
Elizabeth City, NC 27909-6816
Phone
(252) 516-4126
Fax
(252) 359-4821
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 C014303 NC Primary

Addresses

Primary practice location

1313 N Road St Suite E #23
Elizabeth City, NC 27909-6816

Mailing address

1313 N Road St Suite E #23
Elizabeth City, NC 27909-6816
Phone (252) 516-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C014303NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling & Coaching, PLLC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

1313 N Road St
Ste E
Elizabeth City, NC 27909
Phone (252) 516-4126

905 Halstead Blvd
Ste 18
Elizabeth City, NC 27909
Phone (252) 618-6143

1825 W City Dr
Ste G
Elizabeth City, NC 27909
Phone (252) 656-5799

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1396393583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N ROAD ST SUITE E #23",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "252-516-4126",
            "fax_number": "252-359-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N ROAD ST SUITE E #23",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "252-516-4126",
            "fax_number": "252-359-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREBEE",
        "first_name": "DANIELLE",
        "middle_name": "TAWANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.