Individual provider Active NPI

Roselin Rodriguez Pinto

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1407487259
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014357 Issued in NC
Practice address
2212 Hope Mills Rd
Fayetteville, NC 28304-4228
Phone
(910) 779-0454
Fax
(910) 491-0833
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 P014357 NC Primary

Addresses

Primary practice location

2212 Hope Mills Rd
Fayetteville, NC 28304-4228

Mailing address

3103 Round Groove PL. Apt F
Hope Mills, NC 28304

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
I20240604002040 NC Practitioner - Clinical Social Worker 9234671405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haymount Institute for Psychological Services PLLCGroup PAC ID 1153498415, 29 clinicians

Practice addresses (Care Compare)

806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014357NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling Center of NC LLC CurrentSince Feb 2, 2020 Accepting new patients
Haymount Institute for Psychological Services, PLLC CurrentSince May 21, 2024 Accepting new patients
Haymount Institute for Psychological Services, PLLC Clinical CurrentSince May 21, 2024 Accepting new patients

Locations

2212 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 779-0454

996 Helen St
Fayetteville, NC 28303
Phone (910) 635-0115

806 Hay St
Fayetteville, NC 28305
Phone 9108607008117

3507 Hill St
Hope Mills, NC 28348
Phone (910) 339-0901

131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1407487259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 ROUND GROOVE PL. APT F",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "28304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044228",
            "telephone_number": "910-779-0454",
            "fax_number": "910-491-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PINTO",
        "first_name": "ROSELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.